Provider Demographics
NPI:1295864353
Name:MEREZ, PAMELA BOYER (PSYD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:BOYER
Last Name:MEREZ
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 1:1002 KALUANUI RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1323
Mailing Address - Country:US
Mailing Address - Phone:808-596-2988
Mailing Address - Fax:808-596-2991
Practice Address - Street 1:1221 KAPIOLANI BLVD
Practice Address - Street 2:348
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3503
Practice Address - Country:US
Practice Address - Phone:808-596-2988
Practice Address - Fax:808-596-2991
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-528103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical