Individual
GAIL LYNN TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1029 KAPAHULU AVE, 405, HONOLULU, HI 96816-1305
(808) 387-5307
(808) 218-7884
Mailing address
P.O. BOX 161191, HONOLULU, HI 96816
(808) 387-5307
(808) 218-7884
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 899
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225133481
GROUP NPI
HI
Enumeration date
09/13/2006
Last updated
01/19/2008
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