Individual
DR. MITZI GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1016 KAPAHULU AVE, HONOLULU, HI 96816-1354
(808) 737-6277
(808) 732-3707
Mailing address
2957 KALAKAUA AVE, HONOLULU, HI 96815-4650
(808) 926-2052
(808) 732-3707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-663
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55077401
—
HI
Enumeration date
06/17/2006
Last updated
10/18/2007
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