Healthcare Provider Details

I. General information

NPI: 1801043856
Provider Name (Legal Business Name): CATHERINE MOLINARO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 05/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75-170 HUALALAI RD # B103
KAILUA KONA HI
96740-1779
US

IV. Provider business mailing address

75-170 HUALALAI RD # B103
KAILUA KONA HI
96740-1779
US

V. Phone/Fax

Practice location:
  • Phone: 808-589-1829
  • Fax:
Mailing address:
  • Phone: 808-589-1829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberNCC 90002
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: