Healthcare Provider Details

I. General information

NPI: 1831770015
Provider Name (Legal Business Name): CATHERINE GALLAHUE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 08/10/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86-260 FARRINGTON HWY
WAIANAE HI
96792-3128
US

IV. Provider business mailing address

411 HOBRON LN APT 1810
HONOLULU HI
96815-1213
US

V. Phone/Fax

Practice location:
  • Phone: 808-697-3469
  • Fax:
Mailing address:
  • Phone: 808-566-5636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.0005406
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1893
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: