Healthcare Provider Details

I. General information

NPI: 1801957428
Provider Name (Legal Business Name): ALBEN Y. SEKIMURA P.H.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 KALAKAUA AVE SUITE 3502
HONOLULU HI
96826-3766
US

IV. Provider business mailing address

1750 KALAKAUA AVE SUITE 3502
HONOLULU HI
96826-3766
US

V. Phone/Fax

Practice location:
  • Phone: 808-955-1414
  • Fax:
Mailing address:
  • Phone: 808-955-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number634
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: