Provider Demographics
NPI:1477688422
Name:WYSS, JAMUNA (PSY D)
Entity type:Individual
Prefix:DR
First Name:JAMUNA
Middle Name:
Last Name:WYSS
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-4061A MAMALAHOA HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:HONOKA'A
Mailing Address - State:HI
Mailing Address - Zip Code:96727-9672
Mailing Address - Country:US
Mailing Address - Phone:808-775-9588
Mailing Address - Fax:808-775-9588
Practice Address - Street 1:46-4061A MAMALAHOA HIGHWAY
Practice Address - Street 2:
Practice Address - City:HONOKA'A
Practice Address - State:HI
Practice Address - Zip Code:96727-9672
Practice Address - Country:US
Practice Address - Phone:808-775-9588
Practice Address - Fax:808-775-9588
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI897103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical