Kathleen S Brown, PH.D.

Individual provider Active NPI Health Service Psychologist · Tamc, HI

NPI 1861473670 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1861473670
Entity type
Individual (NPI type 1)
Primary specialty
Health Service Psychologist 103TH0100X
License
PSY488 (HI)
Practice address
1 Jarrett White Rd
MCHK-PH
Tamc, HI 96859-5001
Phone
(808) 433-1323
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY488HIMDHealth Service Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X PSY488 HI Yes

Addresses

Primary practice location

1 Jarrett White Rd
MCHK-PH
Tamc, HI 96859-5001

Mailing address

98-707 Iho PL
#805
Aiea, HI 96701-2524
Phone (808) 433-1323

Other providers in Tamc, HI

All providers in Tamc, HI · Health Service Psychologist in Hawaii

Sources for this page

Verify at the official NPI Registry.