Provider Demographics
NPI:1336230838
Name:DAVE, ROBERT PRITAM (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PRITAM
Last Name:DAVE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1188 BISHOP ST
Mailing Address - Street 2:SUITE 1011
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3301
Mailing Address - Country:US
Mailing Address - Phone:808-524-4662
Mailing Address - Fax:415-276-2899
Practice Address - Street 1:1188 BISHOP ST
Practice Address - Street 2:SUITE 1011
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3301
Practice Address - Country:US
Practice Address - Phone:808-524-4662
Practice Address - Fax:415-276-2899
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI270103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical