Healthcare Provider Details

I. General information

NPI: 1477869519
Provider Name (Legal Business Name): CAROLINE FRANCOISE ACRA PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 10/29/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 DOLE STREET; SAKAMAKI HALL C-400 DEPT. OF PSYCHOLOGY, UNIVERSITY OF HAWAII AT MANOA
HONOLULU HI
96822-5318
US

IV. Provider business mailing address

2530 DOLE STREET; SAKAMAKI HALL C-400 DEPT. OF PSYCHOLOGY, UNIVERSITY OF HAWAII AT MANOA
HONOLULU HI
96822-5318
US

V. Phone/Fax

Practice location:
  • Phone: 808-956-9559
  • Fax: 808-956-2218
Mailing address:
  • Phone: 808-956-9559
  • Fax: 808-956-2218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberHI-1901
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberHI-1901
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: