Provider Demographics
NPI:1689342008
Name:DALPIVO, TANEA MARA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:TANEA
Middle Name:MARA
Last Name:DALPIVO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 ALA WAI BLVD APT 1203
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3905
Mailing Address - Country:US
Mailing Address - Phone:808-852-9478
Mailing Address - Fax:
Practice Address - Street 1:2609 ALA WAI BLVD APT 1203
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3905
Practice Address - Country:US
Practice Address - Phone:808-852-9478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI717-0106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty