Healthcare Provider Details

I. General information

NPI: 1528392594
Provider Name (Legal Business Name): SHERILYN HIPOLITO OGAWA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERILYN ALDANESE HIPOLITO PSY.D.

II. Dates (important events)

Enumeration Date: 09/23/2009
Last Update Date: 09/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 PIIKOI ST SUITE 105
HONOLULU HI
96814-3116
US

IV. Provider business mailing address

95-1017 MELEKAI ST
MILILANI HI
96789-5946
US

V. Phone/Fax

Practice location:
  • Phone: 808-596-8433
  • Fax: 808-591-1017
Mailing address:
  • Phone: 808-780-4009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: