Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAVIS A MIZUMOTO, PH.D.
Active Sole ProprietorMAVIS A MIZUMOTO, PH.D. is a Clinical Psychologist healthcare provider located in HONOLULU, Hawaii. NPI 1396895900 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · HONOLULU, HI
Registration Details
- NPI Number
- 1396895900
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2007 (19.575050867949 yrs)
- Last Updated
- Jan 30, 2017
- License
-
PSY-481 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1268 YOUNG STSTE 200HONOLULU, HI, 968141801Browse HI providers · Browse ZIP 96814
- Phone
- 8087352378
- Fax
- 8085978183
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in HONOLULU, HI
| Name | Credential | NPI |
|---|---|---|
| DR. JANE S.R. FISHER | PH.D. | 1902894140 |
| DR. JAMES SLOBODZIEN | PSY.D. | 1750371670 |
| DR. BRENDA H EDMONDS | PSY.D. | 1154311850 |
| SUSAN KISS | PSY.D. | 1750364527 |
| DR. JULIA WHEALIN | PH.D. | 1679536551 |
| DR. STEVEN MAMORU MIYAKE | PH.D. | 1366406282 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.