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Individual

TANYA E GAMBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3175 ELUA ST, STE C, LIHUE, HI 96766-1203
(808) 821-2027
(808) 821-2028
Mailing address
3175 ELUA ST, STE C, LIHUE, HI 96766-1203
(808) 821-2027
(808) 821-2028

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY873
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1426681
UHA
HI
01
249698
HMSA
HI
05
55958601
HI
01
575411420
HMSA
HI
01
PSY873
MDX
HI
Enumeration date
12/13/2006
Last updated
08/27/2018
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