1154383552 NPI number — MISS CLAUDIA LP WONG MAPC MAPT LMFT

Table of content: MISS CLAUDIA LP WONG MAPC MAPT LMFT (NPI 1154383552)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154383552 NPI number — MISS CLAUDIA LP WONG MAPC MAPT LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WONG
Provider First Name:
CLAUDIA
Provider Middle Name:
LP
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MAPC MAPT LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154383552
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 235858
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-833-5264
Provider Business Mailing Address Fax Number:
808-833-5264

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
91-2127 FORT WEAVER RD
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
EVA BEACH
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-581-0087
Provider Business Practice Location Address Fax Number:
808-833-5264
Provider Enumeration Date:
04/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  007 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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