Provider Demographics
NPI:1376671180
Name:YABUSAKI, ANN S (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:S
Last Name:YABUSAKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47-670 HALEMANU ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-5512
Mailing Address - Country:US
Mailing Address - Phone:808-239-4114
Mailing Address - Fax:808-239-4114
Practice Address - Street 1:1130 N NIMITZ HWY RM A259
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5783
Practice Address - Country:US
Practice Address - Phone:808-545-3228
Practice Address - Fax:808-545-2686
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14443103T00000X
CAMFT022558106H00000X
HIMFT-87106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist