Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1661 | HI |
Y | 103TC0700X | Clinical Psychologist | 1661 | HI |
NPI | 1003466053 |
---|---|
Provider Name | Danelle Gerona |
First Address | Waipahu, HI 96797-3013 |
Second Address | Waipahu, HI 96797-3013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2019 |
Last Update Date | 11/09/2019 |