Healthcare Provider Details

I. General information

NPI: 1033043476
Provider Name (Legal Business Name): DAVID EDWARD SANDERS MFT-I
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1632 S KING ST
HONOLULU HI
96826-2065
US

IV. Provider business mailing address

1001 QUEEN ST APT 1808
HONOLULU HI
96814-5225
US

V. Phone/Fax

Practice location:
  • Phone: 808-589-2367
  • Fax:
Mailing address:
  • Phone: 808-352-2855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: