Healthcare Provider Details

I. General information

NPI: 1659919868
Provider Name (Legal Business Name): CLAUDIA MCKEEVER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAUDIA RIVERA MS

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 12/18/2019
Certification Date: 12/18/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 ALA MOANA BLVD STE 1
HONOLULU HI
96814-4262
US

IV. Provider business mailing address

1330 ALA MOANA BLVD STE 1
HONOLULU HI
96814-4262
US

V. Phone/Fax

Practice location:
  • Phone: 808-585-1424
  • Fax: 808-585-0379
Mailing address:
  • Phone: 808-585-1424
  • Fax: 808-585-0379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number48081
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: