Provider Demographics
NPI:1124358742
Name:PRESTON-PITA, HANNAH KALAMA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:KALAMA
Last Name:PRESTON-PITA
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 1:16-179 MELEKAHIWA ST
Mailing Address - Street 2:
Mailing Address - City:KEAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96749-8026
Mailing Address - Country:US
Mailing Address - Phone:808-969-9994
Mailing Address - Fax:808-961-5011
Practice Address - Street 1:16-179 MELEKAHIWA ST
Practice Address - Street 2:
Practice Address - City:KEAAU
Practice Address - State:HI
Practice Address - Zip Code:96749-8026
Practice Address - Country:US
Practice Address - Phone:808-969-9994
Practice Address - Fax:808-961-5011
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY 1165103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical