Provider Demographics
NPI:1154478154
Name:SHIRAKAWA, PATTI HATSUMI (PHD)
Entity type:Individual
Prefix:DR
First Name:PATTI
Middle Name:HATSUMI
Last Name:SHIRAKAWA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S KING ST
Mailing Address - Street 2:STE 777
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1922
Mailing Address - Country:US
Mailing Address - Phone:808-593-0456
Mailing Address - Fax:808-593-0456
Practice Address - Street 1:1150 S KING ST
Practice Address - Street 2:STE 777
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1922
Practice Address - Country:US
Practice Address - Phone:808-593-0456
Practice Address - Fax:808-593-0456
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI284103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical