Individual
DR. T NALANI ARCHIBEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1043 MAKAWAO AVE, 202B, MAKAWAO, HI 96768
(808) 573-6666
(808) 876-0077
Mailing address
PO BOX 880454, PUKALANI, HI 96788
(808) 573-6666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
253
HI
103TC0700X
Clinical Psychologist
901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02484801
—
HI
01
—
S33048
KAISER
HI
Enumeration date
04/18/2007
Last updated
07/08/2007
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