Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BLOSSOM IWALANI FONOIMOANA, PSYD, MSW, LSW

Active

DR. BLOSSOM IWALANI FONOIMOANA, PSYD, MSW, LSW is a Psychologist healthcare provider located in KAUNAKAKAI, Hawaii. NPI 1619112877 is currently active in the NPPES registry. Verify at CMS.

Psychologist · KAUNAKAKAI, HI

Registration Details

NPI Number: 1619112877
Provider Type: Individual
Gender: Female
NPI Issued: Dec 2, 2008 (17.703513826327 yrs)
Last Updated: Sep 27, 2018
Licenses: LSW 1557 (HI)

PSY-1524 (HI)

LCSW-3658 (HI)

Practice Information

Address: 604 MAUNALOA HWY

#C

KAUNAKAKAI, HI, 967480130
Browse HI providers · Browse ZIP 96748
Phone: 8085603653
Fax: 8085603385
Primary Specialty: Psychologist
103T00000X
Additional Specialty: Psychologist
Additional Specialty: Clinical Social Worker

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.