Healthcare Provider Details

I. General information

NPI: 1609921972
Provider Name (Legal Business Name): MARIA FERRER ACHAVAL PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 KAILI ST
HONOLULU HI
96819-3432
US

IV. Provider business mailing address

94-445 KAPUAHI ST
MILILANI HI
96789-2522
US

V. Phone/Fax

Practice location:
  • Phone: 808-847-1535
  • Fax:
Mailing address:
  • Phone: 808-623-8860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY - 963
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: