Provider Demographics
NPI:1093050874
Name:YONEDA, ATHENA C (PHD)
Entity Type:Individual
Prefix:DR
First Name:ATHENA
Middle Name:C
Last Name:YONEDA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 KOAPAKA ST
Mailing Address - Street 2:SUITE I-560
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1800
Mailing Address - Country:US
Mailing Address - Phone:808-538-2518
Mailing Address - Fax:
Practice Address - Street 1:3375 KOAPAKA ST
Practice Address - Street 2:SUITE I-560
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1800
Practice Address - Country:US
Practice Address - Phone:808-538-2518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-04
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY1349103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical