Provider Demographics
NPI:1073653671
Name:UMPHRESS, VAL J (PHD)
Entity Type:Individual
Prefix:
First Name:VAL
Middle Name:J
Last Name:UMPHRESS
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:99-128 AIEA HEIGHTS DR
Mailing Address - Street 2:STE 305
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3933
Mailing Address - Country:US
Mailing Address - Phone:808-488-9288
Mailing Address - Fax:808-488-9288
Practice Address - Street 1:99-128 AIEA HEIGHTS DR
Practice Address - Street 2:STE 305
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3933
Practice Address - Country:US
Practice Address - Phone:808-488-9288
Practice Address - Fax:808-487-3106
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI611103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI4535OtherALOHA CARE PROVIDER ID
UT634580OtherDESERET MUTUAL PROVIDERID
HI192947 I1OtherHMA PROVIDER ID
HIPSY611OtherQUEENS HEALTHCARE PLAN
HI002684Medicaid
HI0000213314OtherHMSA PROVIDER ID
MN2286575OtherCIGNA BEHAVIORAL HEALTH
HI002684Medicaid