MEDICARE: MR. DANIEL PARSONS WILKIE PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	11848	NE
2	103TC0700X	Clinical Psychologist	1968	HI
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1194195503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL PARSONS WILKIE PH.D.

Provider Business Mailing Address
First Line	:	2530 DOLE STREET
Second Line	:	SAKAMAKI C400
City	:	HONOLULU
State	:	HI
Zip	:	96822
Country	:	US
Telephone Number	:	808-956-9559
Fax Number	:	808-956-2218

Provider Business Practice Location Address
First Line	:	2530 DOLE STREET
Second Line	:	SAKAMAKI C400
City	:	HONOLULU
State	:	HI
Zip	:	96822
Country	:	US
Telephone Number	:	808-956-9559
Fax Number	:	808-956-2218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2015
Last Update Date	:	04/06/2026

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