Healthcare Provider Details

I. General information

NPI: 1346555828
Provider Name (Legal Business Name): CINDY GOODNESS ZANE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 NUUANU AVE UNIT 5
HONOLULU HI
96817-3702
US

IV. Provider business mailing address

1511 NUUANU AVE UNIT 5
HONOLULU HI
96817-3702
US

V. Phone/Fax

Practice location:
  • Phone: 808-386-3055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 1198
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY 1198
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPSY 1198
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY 1198
License Number StateHI
# 5
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPSY 1198
License Number StateHI
# 6
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPSY 1198
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: