Provider Demographics
NPI:1659820157
Name:DESIREE C. CABINTE, PH.D. LLC
Entity Type:Organization
Organization Name:DESIREE C. CABINTE, PH.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CABINTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:714-614-0303
Mailing Address - Street 1:94-449 KUAHUI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1234
Mailing Address - Country:US
Mailing Address - Phone:714-614-0303
Mailing Address - Fax:
Practice Address - Street 1:1221 KAPIOLANI BLVD STE PH38
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:808-284-1807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004378103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty