Provider Demographics
NPI:1780602821
Name:BAROZZI, RONALD (PHD, PSYD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:BAROZZI
Suffix:
Gender:M
Credentials:PHD, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47-234 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4734
Mailing Address - Country:US
Mailing Address - Phone:808-239-9234
Mailing Address - Fax:808-239-5743
Practice Address - Street 1:226 N KUAKINI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2421
Practice Address - Country:US
Practice Address - Phone:808-566-3739
Practice Address - Fax:808-566-3859
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI534103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical