D'Avanzo, Tanya J.

D'Avanzo, Tanya J. is an sole proprietor health care provider with primary practice located at 345 Queen St Ste 703 , Honolulu HI 96813-4718. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. D'Avanzo, Tanya J. can be contacted via phone (808) 521-3761.

Contact Information

Primary practice address
345 Queen St Ste 703 Honolulu HI 96813-4718
Phone: (808) 521-3761
Fax: (800) 491-4155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY635 Hawaii
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY635 Hawaii

Profile Details

NPI number 1194806315
LBN Legal business name D'Avanzo, Tanya J.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Feb 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194806315 NPPES
Hawaii Other 22363 HMSA
Hawaii MEDICAID 08930801 HMSA

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