Doctor Name: | STEPHANIE ALBORNOZ |
NPI Number: | 1891027926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | Hc 1 Box 4142 Keaau, HI - 967499709 |
Business Phone Number: | 8089873041 |
Business Fax Number: | |
Mailing Address: | 77 Mohouli St, HILO |
State: | HI |
Postal Code: | 967204181 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/29/2010 |
NPI Last Update Date: | 01/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |