Provider Demographics
NPI:1710526124
Name:TOMITA PSYCHOTHERAPY AND CONSULTATION LLC
Entity Type:Organization
Organization Name:TOMITA PSYCHOTHERAPY AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:KIYOSHI
Authorized Official - Last Name:TOMITA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-391-3514
Mailing Address - Street 1:1164 BISHOP ST
Mailing Address - Street 2:STE. 929
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2810
Mailing Address - Country:US
Mailing Address - Phone:808-391-3514
Mailing Address - Fax:
Practice Address - Street 1:1164 BISHOP ST
Practice Address - Street 2:STE. 929
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2810
Practice Address - Country:US
Practice Address - Phone:808-391-3514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty