Healthcare Provider Details

I. General information

NPI: 1780602821
Provider Name (Legal Business Name): RONALD BAROZZI PHD, PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 N KUAKINI ST
HONOLULU HI
96817-2421
US

IV. Provider business mailing address

47-234 KAMEHAMEHA HWY
KANEOHE HI
96744-4734
US

V. Phone/Fax

Practice location:
  • Phone: 808-566-3739
  • Fax: 808-566-3859
Mailing address:
  • Phone: 808-239-9234
  • Fax: 808-239-5743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number534
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: