Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY307 | HI |
Y | 103G00000X | Clinical Psychologist | PSY307 | HI |
Y | 103TC0700X | Clinical Psychologist | PSY307 | HI |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY307 | HI |
N | 103TP2701X | Group Psychotherapist | PSY307 | HI |
NPI | 1215005673 |
---|---|
Provider Name | Dr. Nada Rose Mangialetti |
First Address | Kapolei, HI 96707-1705 |
Second Address | Kapolei, HI 96707-1705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 20/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017588-02 | (05) | HI |
017588-02 | ALOHA CARE QUEST (01) | HI |
1413644 | UNIVERSITY HEALTH ALLIANC (01) | HI |
420425 | VALUE OPTIONS (01) | HI |
508654 | HMA (01) | HI |