Provider Demographics
NPI:1427348465
Name:ABEL, TOMAS (PHD)
Entity type:Individual
Prefix:
First Name:TOMAS
Middle Name:
Last Name:ABEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 UNIVERSITY AVE
Mailing Address - Street 2:#205
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-5001
Mailing Address - Country:US
Mailing Address - Phone:626-297-3746
Mailing Address - Fax:
Practice Address - Street 1:3375 KOAPAKA ST
Practice Address - Street 2:SUITE C-315
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1800
Practice Address - Country:US
Practice Address - Phone:626-297-3746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY1228103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical