| Rosalie K Tatsuguchi Phd Inc | |
|
3221 Waialae Ave Suite 378 Honolulu HI 96816-5842 | |
| (808) 735-1214 | |
| (808) 735-1214 |
| Full Name | Rosalie K Tatsuguchi Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3221 Waialae Ave, Honolulu, Hawaii |
| Authorized Official Name and Position | Rosalie K Tatsuguchi (PRESIDENT) |
| Authorized Official Contact | 8087351214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosalie K Tatsuguchi Phd Inc 3221 Waialae Ave Suite 378 Honolulu HI 96816-5842 Ph: (808) 735-1214 | Rosalie K Tatsuguchi Phd Inc 3221 Waialae Ave Suite 378 Honolulu HI 96816-5842 Ph: (808) 735-1214 |
| NPI Number | 1215185301 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/23/2008 |
| Medicare PECOS PAC ID | 8224191184 |
|---|---|
| Medicare Enrollment ID | O20090120000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215185301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY228 (Hawaii) | Primary |
| Provider Name | Rosalie K Tatsuguchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376605402 PECOS PAC ID: 2466475496 Enrollment ID: I20060105000324 |
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