Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 102L00000X | Psychologist | 1523 | HI |
N | 103T00000X | Psychologist | 1523 | HI |
N | 103TA0700X | Adult Development & Aging Psychologist | 1523 | HI |
Y | 103G00000X | Clinical Psychologist | 1523 | HI |
Y | 103TC0700X | Clinical Psychologist | 1523 | HI |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1523 | HI |
N | 103TF0000X | Family Psychologist | 1523 | HI |
NPI | 1063775740 |
---|---|
Provider Name | Dr. Coren Scott Seichi Kajioka |
First Address | Honolulu, HI 96816-2101 |
Second Address | Honolulu, HI 96813-3429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 13/04/2015 |