Provider Demographics
NPI:1932577418
Name:HERNANDEZ ARMSTRONG, GENIEL AMELIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:GENIEL
Middle Name:AMELIA
Last Name:HERNANDEZ ARMSTRONG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:88 KANOELEHUA AVE
Mailing Address - Street 2:STE. A 204
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4670
Mailing Address - Country:US
Mailing Address - Phone:808-933-0603
Mailing Address - Fax:
Practice Address - Street 1:88 KANOELEHUA AVE
Practice Address - Street 2:STE. A 204
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4670
Practice Address - Country:US
Practice Address - Phone:808-933-0603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-1453103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical