Provider Demographics
NPI:1861649253
Name:DANIEL, MALIA B (MSCP)
Entity Type:Individual
Prefix:MS
First Name:MALIA
Middle Name:B
Last Name:DANIEL
Suffix:
Gender:F
Credentials:MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LANI PL
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-1723
Mailing Address - Country:US
Mailing Address - Phone:808-937-1339
Mailing Address - Fax:
Practice Address - Street 1:10 LANI PL
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-1723
Practice Address - Country:US
Practice Address - Phone:808-937-1339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health