Provider Demographics
NPI:1841523537
Name:GIERLACH AMOY, ELAINE LIGAYA (PHD)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:LIGAYA
Last Name:GIERLACH AMOY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:
Other - Last Name:GIERLACH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:46-318 HAIKU RD APT 37
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3590
Mailing Address - Country:US
Mailing Address - Phone:808-783-3710
Mailing Address - Fax:
Practice Address - Street 1:354 ULUNIU ST STE 309
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2544
Practice Address - Country:US
Practice Address - Phone:808-783-3710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist