Provider Demographics
NPI:1932482148
Name:RYNG, MICHELLE ANGELA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANGELA
Last Name:RYNG
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:PO BOX 1975
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92247-1975
Mailing Address - Country:US
Mailing Address - Phone:808-501-5238
Mailing Address - Fax:833-645-0905
Practice Address - Street 1:1001 BISHOP ST STE 2685A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3404
Practice Address - Country:US
Practice Address - Phone:808-501-5238
Practice Address - Fax:833-645-0905
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY 1462103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical