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DR. TANYA J. D'AVANZO PH.D.

Clinical Neuropsychologist

Honolulu, Hawaii

Provider NPI: 1194806315

Provider Information:
DR. TANYA J. D'AVANZO PH.D.
Gender: F
Sole Proprietor


Practice Location:
345 QUEEN ST STE 703  HONOLULU, HI 96813 US
Tel: 808-521-3761  Fax: 800-491-4155

Business Mailing Address:
1123 KOOHOO PL  KAILUA, HI 96734 US
Tel: 808-566-3761  Fax: 808-566-3859

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
HIPSY635
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
HIPSY635

Other Provider Identifiers:

IssuerNumberStateType
08930801HI05
HMSA22363HI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS HI - Page 1



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