Individual
HEIDE P. KIYOTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
319A N CANE ST, WAHIAWA, HI 96786-2109
(808) 621-1820
(808) 621-0540
Mailing address
319A N CANE ST, WAHIAWA, HI 96786-2109
(808) 621-1820
(808) 621-0540
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 349
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024298-02
—
HI
Enumeration date
05/17/2006
Last updated
07/08/2007
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