Provider Demographics
NPI:1609921972
Name:ACHAVAL, MARIA FERRER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:FERRER
Last Name:ACHAVAL
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 1:94-445 KAPUAHI ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2522
Mailing Address - Country:US
Mailing Address - Phone:808-623-8860
Mailing Address - Fax:
Practice Address - Street 1:1117 KAILI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-3432
Practice Address - Country:US
Practice Address - Phone:808-847-1535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY - 963103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical