Healthcare Provider Details

I. General information

NPI: 1023652294
Provider Name (Legal Business Name): SARAH ELIZABETH MEBANE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2019
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVE
JPBHH HI
96860
US

IV. Provider business mailing address

NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVE
JPBHH HI
96860
US

V. Phone/Fax

Practice location:
  • Phone: 808-474-4242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.008480
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number071.008480
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: