Tracy M Taniguchi Psy D LLC
Psychologist, Clinical in Hilo, HI. Organization (NPI-2).
NPI number1457724031
StatusActive
Last updated in NPPESDec 1, 2022
Details
- NPI
- 1457724031
- Entity type
- Organization (NPI-2)
- Legal business name
- Tracy M Taniguchi Psy D LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2015
- Certification date
- Dec 1, 2022
- Last updated
- Dec 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1320 | HI | Yes |
Other names
- Tracy M.T. Watanabe, Psy.D.,llc (Former Legal Business Name)
Practice location
688 Kinoole StSuite # 206
Hilo, HI 96720-3877
Phone 808-227-7682 · Fax 877-795-7918
Mailing address
688 Kinoole StSuite # 206
Hilo, HI 96720-3877
Phone 808-227-7682 · Fax 877-795-7918
Authorized official
Tracy M.T. Yamasaki
Clinical Psychologist
8082277682
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