Provider Demographics
NPI:1013640267
Name:DR. SCHALLER INCORPORATED
Entity Type:Organization
Organization Name:DR. SCHALLER INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMANDEL-SCHALLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, PHD
Authorized Official - Phone:808-826-1490
Mailing Address - Street 1:P.O. BOX 1071
Mailing Address - Street 2:
Mailing Address - City:HANALEI
Mailing Address - State:HI
Mailing Address - Zip Code:96714-1071
Mailing Address - Country:US
Mailing Address - Phone:808-826-1490
Mailing Address - Fax:808-826-9697
Practice Address - Street 1:5087-A KAPIOLANI LOOP
Practice Address - Street 2:
Practice Address - City:PRINCEVILLE
Practice Address - State:HI
Practice Address - Zip Code:96722
Practice Address - Country:US
Practice Address - Phone:808-826-1490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty