Provider Demographics
NPI:1326347261
Name:SUKONECK, BARRY (EDD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:SUKONECK
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1088 BISHOP ST
Mailing Address - Street 2:SUITE 2306
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3141
Mailing Address - Country:US
Mailing Address - Phone:808-429-3129
Mailing Address - Fax:
Practice Address - Street 1:1088 BISHOP ST
Practice Address - Street 2:SUITE 2306
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3141
Practice Address - Country:US
Practice Address - Phone:808-429-3129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1192103TC1900X
AZ0442103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling