Provider Demographics
NPI:1508819053
Name:AKAMINE, HALE (PHD)
Entity Type:Individual
Prefix:
First Name:HALE
Middle Name:
Last Name:AKAMINE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 S BERETANIA ST
Mailing Address - Street 2:STE 5A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1823
Mailing Address - Country:US
Mailing Address - Phone:808-592-2500
Mailing Address - Fax:808-592-2501
Practice Address - Street 1:1259 S BERETANIA ST
Practice Address - Street 2:STE 5A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1823
Practice Address - Country:US
Practice Address - Phone:808-592-2500
Practice Address - Fax:808-592-2501
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-456103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI070861Medicaid
HI070861Medicaid