Provider Demographics
NPI:1821790841
Name:TIFFANY ANNE YAMAMOTO PSYD LLC
Entity Type:Organization
Organization Name:TIFFANY ANNE YAMAMOTO PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:YAMAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-201-6168
Mailing Address - Street 1:1003 BISHOP ST STE 450
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6412
Mailing Address - Country:US
Mailing Address - Phone:808-201-6168
Mailing Address - Fax:833-830-8146
Practice Address - Street 1:1003 BISHOP ST STE 450
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6412
Practice Address - Country:US
Practice Address - Phone:808-201-6168
Practice Address - Fax:833-830-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty