Provider Demographics
NPI:1831547488
Name:ADAMS, PATRICIA UPTON
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:UPTON
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:UPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 1496
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-1496
Mailing Address - Country:US
Mailing Address - Phone:808-269-2489
Mailing Address - Fax:
Practice Address - Street 1:15744 HALEAKALA HWY
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-8012
Practice Address - Country:US
Practice Address - Phone:808-269-2489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst