| Tanya Gamby, Ph.d. Inc | |
|
4-1558 Kuhio Hwy Kapaa HI 96746-1856 | |
| (808) 821-2027 | |
| (808) 821-2028 |
| Full Name | Tanya Gamby, Ph.d. Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4-1558 Kuhio Hwy, Kapaa, Hawaii |
| Authorized Official Name and Position | Tanya Gamby (PRESIDENT) |
| Authorized Official Contact | 8088212027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Gamby, Ph.d. Inc Po Box 1608 Kapaa HI 96746-7608 Ph: (808) 821-2027 | Tanya Gamby, Ph.d. Inc 4-1558 Kuhio Hwy Kapaa HI 96746-1856 Ph: (808) 821-2027 |
| NPI Number | 1336335462 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 05/03/2012 |
| Medicare PECOS PAC ID | 8527153659 |
|---|---|
| Medicare Enrollment ID | O20071003000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336335462 | NPI | - | NPPES |
| 1426681 | Other | HI | UHA |
| 249698 | Other | HI | HMSA |
| 55958601 | Medicaid | HI | |
| H102925 | Other | HI | MEDICARE ID-PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY873 (Hawaii) | Primary |
| Provider Name | Tanya E Gamby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457412173 PECOS PAC ID: 5496707135 Enrollment ID: I20050210000715 |
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