Organization
TANYA GAMBY, PH.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA GAMBY PH.D. (PRESIDENT)
(808) 821-2027
Entity
Organization
Contact information
Practice address
4-1558 KUHIO HWY, KAPAA, HI 96746-1856
(808) 821-2027
(808) 821-2028
Mailing address
PO BOX 1608, KAPAA, HI 96746-7608
(808) 821-2027
(808) 821-2028
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY873
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1426681
UHA
HI
01
—
249698
HMSA
HI
05
—
55958601
—
HI
01
—
H102925
MEDICARE ID-PIN
HI
Enumeration date
09/21/2007
Last updated
05/03/2012
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