Basic Information
Provider Information
NPI: 1043560857
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HSIA
FirstName: CHERINA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PSYD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6600 KALANIANAOLE HWY STE 225
Address2:  
City: HONOLULU
State: HI
PostalCode: 968251281
CountryCode: US
TelephoneNumber: 8083942800
FaxNumber:  
Practice Location
Address1: 6600 KALANIANAOLE HWY STE 225
Address2:  
City: HONOLULU
State: HI
PostalCode: 968251281
CountryCode: US
TelephoneNumber: 8083942800
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/19/2012
LastUpdateDate: 03/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X  Y Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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