Provider Demographics
NPI:1114203627
Name:POST, PETRINA B (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PETRINA
Middle Name:B
Last Name:POST
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 1:94-207 WAIPAHU ST APT 304
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2015
Mailing Address - Country:US
Mailing Address - Phone:808-218-8261
Mailing Address - Fax:
Practice Address - Street 1:94-207 WAIPAHU ST APT 304
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2015
Practice Address - Country:US
Practice Address - Phone:808-218-8261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1187103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical