Provider Demographics
NPI:1881126605
Name:HAYASHI, FIONA
Entity type:Individual
Prefix:
First Name:FIONA
Middle Name:
Last Name:HAYASHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1936 WILDER AVE
Mailing Address - Street 2:#205
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3374
Mailing Address - Country:US
Mailing Address - Phone:808-723-5107
Mailing Address - Fax:
Practice Address - Street 1:1936 WILDER AVE
Practice Address - Street 2:#205
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-3374
Practice Address - Country:US
Practice Address - Phone:808-723-5107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI407101YM0800X
HI507106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health