Healthcare Provider Details

I. General information

NPI: 1881924272
Provider Name (Legal Business Name): KAREN TYSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2010
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-199 KAMEHAMEHA HWY STE E7
AIEA HI
96701-4820
US

IV. Provider business mailing address

98-199 KAMEHAMEHA HWY STE E7
AIEA HI
96701-4820
US

V. Phone/Fax

Practice location:
  • Phone: 808-955-4775
  • Fax: 808-955-3130
Mailing address:
  • Phone: 808-955-4775
  • Fax: 808-955-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1162
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: