Provider Demographics
NPI:1245360205
Name:SPECTOR, ALAN ROSS (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:ROSS
Last Name:SPECTOR
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-369 HAIKU RD APT E11
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4220
Mailing Address - Country:US
Mailing Address - Phone:808-729-7737
Mailing Address - Fax:
Practice Address - Street 1:46-369 HAIKU RD APT E11
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-4220
Practice Address - Country:US
Practice Address - Phone:808-729-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI34121041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical