Provider Demographics
NPI:1427414150
Name:MONICA TATEKAWA-CHEN, PSYD LLC
Entity Type:Organization
Organization Name:MONICA TATEKAWA-CHEN, PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUI FENG
Authorized Official - Middle Name:
Authorized Official - Last Name:TATEKAWA-CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-561-6899
Mailing Address - Street 1:98-211 PALI MOMI ST STE 635
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4322
Mailing Address - Country:US
Mailing Address - Phone:808-561-6899
Mailing Address - Fax:
Practice Address - Street 1:98-211 PALI MOMI ST STE 635
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4322
Practice Address - Country:US
Practice Address - Phone:808-561-6899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-11
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1371103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty