Individual
DR. TERENCE CLIFFORD WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1188 BISHOP STREET, SUITE 3205, HONOLULU, HI 96813-3313
(808) 545-7706
(413) 812-4219
Mailing address
1188 BISHOP STREET, SUITE 3205, HONOLULU, HI 96813-3313
(808) 545-7706
(413) 812-4219
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY161
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000061655
HMSA BLUE CROSS
HI
05
—
05365701
—
HI
01
—
208654
SUMMERLIN, HMA, HMN
HI
01
—
2911
ALOHA CARE
HI
01
—
9911634
UHA
HI
01
—
PSY161
HMAA, MDX
HI
Enumeration date
07/06/2007
Last updated
07/09/2007
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