Provider Demographics
NPI:1851120174
Name:CHAMINADE UNIVERSITY OF HONOLULU
Entity type:Organization
Organization Name:CHAMINADE UNIVERSITY OF HONOLULU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVOST AND SENIOR VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ASKILDSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-735-4825
Mailing Address - Street 1:3140 WAIALAE AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1510
Mailing Address - Country:US
Mailing Address - Phone:808-739-4681
Mailing Address - Fax:
Practice Address - Street 1:3140 WAIALAE AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-1510
Practice Address - Country:US
Practice Address - Phone:808-739-4681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty