Dr. Timothy Kemp Ambrose
Clinical Psychologist
14-4034 Pahoa-Kalapana Road
Pāhoa
, Hawaii 96778
Dr. Timothy Kemp Ambrose
Clinical Psychologist
14-4034 Pahoa-Kalapana Road
Pāhoa
, Hawaii 96778
(808) 965-1661
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Timothy Kemp Ambrose
- Po Box 1476
- Pahoa, HI
- Zip : 96778-1476
- Fax : (808) 965-1661
- Phone : (808) 965-9416
Second Address
- Dr. Timothy Kemp Ambrose
- 14-4034 Pahoa-Kalapana Road
- Pahoa, HI
- Zip : 96778
- Fax : (808) 965-1661
- Phone : (808) 965-9416
Reviews
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Is Dr. Timothy Kemp Ambrose a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY-735 | HI |
| Y | 103TC0700X | Clinical Psychologist | PSY-735 | HI |
National Provider Identifier
| NPI | 1003913435 |
|---|---|
| Provider Name | Dr. Timothy Kemp Ambrose |
| First Address | Pahoa, HI 96778-1476 |
| Second Address | Pahoa, HI 96778 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0000240218 | QUEST PIN NUMBER (01) | HI |
| 0240218 | HMSA PIN NUMBER (01) | HI |
| 53129501 | (05) | HI |
| 53129501 | ALOHACARE PIN NUMBER (01) | HI |
| PSY-735 | QUEENS MDX PIN NUMBER (01) | HI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.