Healthcare Provider Details

I. General information

NPI: 1225181332
Provider Name (Legal Business Name): OLAF KNUT GITTER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 S KING ST SUITE 325
HONOLULU HI
96814-2009
US

IV. Provider business mailing address

1350 S KING ST SUITE 325
HONOLULU HI
96814-2009
US

V. Phone/Fax

Practice location:
  • Phone: 808-591-9116
  • Fax: 808-591-9655
Mailing address:
  • Phone: 808-591-9116
  • Fax: 808-591-9655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-151
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: