Healthcare Provider Details

I. General information

NPI: 1316000664
Provider Name (Legal Business Name): MARIA BRIONES, PH.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 03/25/2022
Certification Date: 03/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3176 POIPU RD STE 5
KOLOA HI
96756-9521
US

IV. Provider business mailing address

5473 PUULIMA RD # C
KALAHEO HI
96741-9301
US

V. Phone/Fax

Practice location:
  • Phone: 808-742-6446
  • Fax:
Mailing address:
  • Phone: 808-742-6446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY-673
License Number StateHI

VIII. Authorized Official

Name: DR. MARIA BIBIANA BRIONES
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 808-742-6446