Healthcare Provider Details

I. General information

NPI: 1073842415
Provider Name (Legal Business Name): FRANCO ACQUARO PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANK ACQUARO JR. PHD

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64-1035 MAMALAHOA HWY STE F
KAMUELA HI
96743-8440
US

IV. Provider business mailing address

PO BOX 818
KAMUELA HI
96743-0818
US

V. Phone/Fax

Practice location:
  • Phone: 88-855-9008
  • Fax: 808-885-6900
Mailing address:
  • Phone: 808-657-0756
  • Fax: 808-885-5900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1094
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: