Provider Demographics
NPI:1073717211
Name:MARIA PARRENO, PSY.D., INC
Entity Type:Organization
Organization Name:MARIA PARRENO, PSY.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:PARRENO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-335-3300
Mailing Address - Street 1:PO BOX 690107
Mailing Address - Street 2:
Mailing Address - City:MAKAWELI
Mailing Address - State:HI
Mailing Address - Zip Code:96769-0107
Mailing Address - Country:US
Mailing Address - Phone:808-335-3300
Mailing Address - Fax:808-335-3301
Practice Address - Street 1:4353 WAIALO RD
Practice Address - Street 2:STE 13B
Practice Address - City:ELEELE
Practice Address - State:HI
Practice Address - Zip Code:96705
Practice Address - Country:US
Practice Address - Phone:808-335-3300
Practice Address - Fax:808-335-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY 865103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty