Provider Demographics
NPI:1992045611
Name:BUCHANAN, PAMELA DONNA (MA PSYCH/CSAC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:DONNA
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:MA PSYCH/CSAC
Other - Prefix:
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Mailing Address - Street 1:1020 AOLOA PL APT 202A
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-5247
Mailing Address - Country:US
Mailing Address - Phone:808-733-9353
Mailing Address - Fax:808-733-9357
Practice Address - Street 1:3627 KILAUEA AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2317
Practice Address - Country:US
Practice Address - Phone:808-733-9353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)