Provider Demographics
NPI:1508169442
Name:HOE, MARA H K (PSYD)
Entity Type:Individual
Prefix:
First Name:MARA
Middle Name:H K
Last Name:HOE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1010 SHANGRILA ST STE 500
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2175
Mailing Address - Country:US
Mailing Address - Phone:808-433-5422
Mailing Address - Fax:
Practice Address - Street 1:91-1010 SHANGRILA ST STE 500
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2175
Practice Address - Country:US
Practice Address - Phone:808-433-5422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1219103TH0004X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth