Provider Demographics
NPI:1386256626
Name:CRETU, GABRIELA NICOLETA (PSYD)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:NICOLETA
Last Name:CRETU
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1888 KALAKAUA AVE STE C312
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1550
Mailing Address - Country:US
Mailing Address - Phone:808-940-9160
Mailing Address - Fax:
Practice Address - Street 1:1888 KALAKAUA AVE STE C312
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1550
Practice Address - Country:US
Practice Address - Phone:808-940-9160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-1855103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical