Provider Demographics
NPI:1326064072
Name:ALETHEA, BARBARA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:ALETHEA
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 1:41-976 LAUMILO ST
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1661
Mailing Address - Country:US
Mailing Address - Phone:808-259-9996
Mailing Address - Fax:808-259-9169
Practice Address - Street 1:41-976 LAUMILO ST
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1661
Practice Address - Country:US
Practice Address - Phone:808-259-9996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY554103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HITCBXWMedicare ID - Type Unspecified
HI0205057Medicare ID - Type Unspecified