Fonoimoana, Blossom Iwalani

Fonoimoana, Blossom Iwalani is an individual health care provider with primary practice located at 604 Maunaloa Hwy #C, Kaunakakai HI 96748-0130. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Fonoimoana, Blossom Iwalani can be contacted via phone (808) 560-3653.

Contact Information

Primary practice address
604 Maunaloa Hwy #C Kaunakakai HI 96748-0130
Phone: (808) 560-3653
Fax: (808) 560-3385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW 1557 Hawaii
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-1524 Hawaii
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-3658 Hawaii

Profile Details

NPI number 1619112877
LBN Legal business name Fonoimoana, Blossom Iwalani
Credentials PSYD, MSW, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2008
Last updated Sep 27th, 2018 - 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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