Individual
DR. SAMANTHA TAVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1016 KAPAHULU AVE STE 265, HONOLULU, HI 96816-1318
(808) 342-3377
Mailing address
PO BOX 11215, HONOLULU, HI 96828-0215
(808) 342-3377
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
589
HI
Other
Enumeration date
05/02/2007
Last updated
06/10/2021
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