Provider Demographics
NPI:1013019702
Name:YASUDA, CYNTHIA CHIEMI (MSW)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:CHIEMI
Last Name:YASUDA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 HOBRON LN
Mailing Address - Street 2:#903
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1028
Mailing Address - Country:US
Mailing Address - Phone:808-433-7648
Mailing Address - Fax:808-433-0398
Practice Address - Street 1:459 PATTERSON RD
Practice Address - Street 2:122
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1522
Practice Address - Country:US
Practice Address - Phone:808-433-7648
Practice Address - Fax:808-433-0398
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILSW167104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker