Provider Demographics
NPI:1811129810
Name:KOTTE, AMELIA (PHD)
Entity type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:
Last Name:KOTTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2530 DOLE ST
Mailing Address - Street 2:PSYCHOLOGY DEPARTMENT, SAKAMAKI D-410
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2309
Mailing Address - Country:US
Mailing Address - Phone:619-723-6915
Mailing Address - Fax:
Practice Address - Street 1:2530 DOLE ST
Practice Address - Street 2:PSYCHOLOGY DEPARTMENT, SAKAMAKI D-410
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2309
Practice Address - Country:US
Practice Address - Phone:619-723-6915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1561103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical