Provider Demographics
NPI:1770683302
Name:OZOA, CLAUDETTE HARUKO (PHD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDETTE
Middle Name:HARUKO
Last Name:OZOA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4348 WAIALAE AVE # 403
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5767
Mailing Address - Country:US
Mailing Address - Phone:808-284-3601
Mailing Address - Fax:888-668-8527
Practice Address - Street 1:4300 WAIALAE AVE APT B1002
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5757
Practice Address - Country:US
Practice Address - Phone:808-284-3601
Practice Address - Fax:888-668-8527
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-751103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI203822652OtherTRICARE
HI52208801Medicaid
HI232975OtherHMSA
HI232975OtherHMSA