Provider Demographics
NPI:1326296104
Name:MAKA'IKE, DANIELLE E (PHD)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:E
Last Name:MAKA'IKE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:E
Other - Last Name:LUCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 291
Mailing Address - Street 2:
Mailing Address - City:VOLCANO
Mailing Address - State:HI
Mailing Address - Zip Code:96785
Mailing Address - Country:US
Mailing Address - Phone:808-896-7406
Mailing Address - Fax:808-933-0558
Practice Address - Street 1:88 KANOELEHUA AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-933-0597
Practice Address - Fax:808-933-0558
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2019-07-05
Deactivation Date:2017-12-29
Deactivation Code:
Reactivation Date:2019-07-05
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
HIPSY1670103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor