Individual
VANESSA J. INCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-906
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000263269
HMSA BILLING NUMBER
HI
05
—
58880801
—
HI
Enumeration date
10/16/2006
Last updated
10/09/2007
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