Provider Demographics
NPI:1407245038
Name:HAWAII PSYCHOLOGY COLLECTIVE
Entity Type:Organization
Organization Name:HAWAII PSYCHOLOGY COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL, CO-FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COFFEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-258-2287
Mailing Address - Street 1:1221 KAPIOLANI BLVD
Mailing Address - Street 2:PH 38
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3503
Mailing Address - Country:US
Mailing Address - Phone:808-258-2287
Mailing Address - Fax:808-518-4724
Practice Address - Street 1:1221 KAPIOLANI BLVD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3503
Practice Address - Country:US
Practice Address - Phone:808-258-2287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY1499251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health