Provider Demographics
NPI:1073938692
Name:SATO, RONELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RONELLE
Middle Name:
Last Name:SATO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12182
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96828-1182
Mailing Address - Country:US
Mailing Address - Phone:808-398-9859
Mailing Address - Fax:
Practice Address - Street 1:615 PIIKOI ST STE 1109
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3141
Practice Address - Country:US
Practice Address - Phone:808-398-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-1450103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical