Provider Demographics
NPI:1861459844
Name:DORRE, ANNE (PHD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:DORRE
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 1:4919 PEPELANI LOOP
Mailing Address - Street 2:SUITE 8C
Mailing Address - City:PRINCEVILLE
Mailing Address - State:HI
Mailing Address - Zip Code:96722-5357
Mailing Address - Country:US
Mailing Address - Phone:808-634-0569
Mailing Address - Fax:
Practice Address - Street 1:4566 OHIA ST
Practice Address - Street 2:SUITE D
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1646
Practice Address - Country:US
Practice Address - Phone:808-634-0569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1170103TC1900X
AZ3674103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling