1932577418 NPI number — DR. GENIEL AMELIA HERNANDEZ ARMSTRONG PH.D.

Table of content: DR. GENIEL AMELIA HERNANDEZ ARMSTRONG PH.D. (NPI 1932577418)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932577418 NPI number — DR. GENIEL AMELIA HERNANDEZ ARMSTRONG PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HERNANDEZ ARMSTRONG
Provider First Name:
GENIEL
Provider Middle Name:
AMELIA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARMSTRONG
Provider Other First Name:
JAMIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1932577418
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/14/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
88 KANOELEHUA AVE
Provider Second Line Business Mailing Address:
STE. A 204
Provider Business Mailing Address City Name:
HILO
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96720-4670
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-933-0603
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
88 KANOELEHUA AVE
Provider Second Line Business Practice Location Address:
STE. A 204
Provider Business Practice Location Address City Name:
HILO
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96720-4670
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-933-0603
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2015

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: 103TC0700X , with the licence number:  PSY-1453 , 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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