Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY441 | HI |
Y | 103TC0700X | Clinical Psychologist | PSY441 | HI |
NPI | 1003963125 |
---|---|
Provider Name | Dr. Margaret Mary Matsunami |
First Address | Hilo, HI 96720-2960 |
Second Address | Hilo, HI 96720-2960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 08/07/2007 |