Individual
GREG I. TANIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3016
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000244848
HMSA BILLING NUMBER
HI
05
—
55169901
—
HI
Enumeration date
07/30/2006
Last updated
10/09/2007
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