Provider Demographics
NPI:1164656997
Name:HALEVI, NANCY E (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:HALEVI
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 1:328 ULUNIU ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2547
Mailing Address - Country:US
Mailing Address - Phone:808-398-1260
Mailing Address - Fax:
Practice Address - Street 1:328 ULUNIU ST
Practice Address - Street 2:SUITE 201
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2547
Practice Address - Country:US
Practice Address - Phone:808-398-1260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1118103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist