Provider Demographics
NPI:1225181332
Name:GITTER, OLAF KNUT (PHD)
Entity Type:Individual
Prefix:DR
First Name:OLAF
Middle Name:KNUT
Last Name:GITTER
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 1:1350 S KING ST
Mailing Address - Street 2:SUITE 325
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2009
Mailing Address - Country:US
Mailing Address - Phone:808-591-9116
Mailing Address - Fax:808-591-9655
Practice Address - Street 1:1350 S KING ST
Practice Address - Street 2:SUITE 325
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2009
Practice Address - Country:US
Practice Address - Phone:808-591-9116
Practice Address - Fax:808-591-9655
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-151103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI07059701Medicaid
HIPSY-151-02OtherMDX
HIE09178-4OtherHMSA
HI07059701Medicaid