Provider Demographics
NPI:1114087442
Name:SATZ, HELENE JOAN (PSYD)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:JOAN
Last Name:SATZ
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 1:445 KAWAILOA RD
Mailing Address - Street 2:#10
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3167
Mailing Address - Country:US
Mailing Address - Phone:808-261-5355
Mailing Address - Fax:
Practice Address - Street 1:445 KAWAILOA RD
Practice Address - Street 2:#10
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3167
Practice Address - Country:US
Practice Address - Phone:808-261-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3243103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI968OtherSTATE OF HAWAII LICENSE