Provider Demographics
NPI:1194195503
Name:WILKIE, DANIEL PARSONS (PHD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:PARSONS
Last Name:WILKIE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 DOLE STREET
Mailing Address - Street 2:SAKAMAKI C400
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822
Mailing Address - Country:US
Mailing Address - Phone:808-956-9559
Mailing Address - Fax:808-956-2218
Practice Address - Street 1:2530 DOLE STREET
Practice Address - Street 2:SAKAMAKI C400
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822
Practice Address - Country:US
Practice Address - Phone:808-956-9559
Practice Address - Fax:808-956-2218
Is Sole Proprietor?:No
Enumeration Date:2015-09-28
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11848101Y00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor