Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PSY-747 | HI |
NPI | 1114911450 |
---|---|
Provider Name | Dr. Shelly A. Tomishima |
First Address | Waipahu, HI 96797-4632 |
Second Address | Waipahu, HI 96797-4632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 08/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000250852 | HMSA (01) | HI |
00A0250852 | HMSA (01) | HI |
534232 | HMA, INC. (01) | HI |
548597-03 | (05) | HI |
54859705 | (05) | HI |