Whalio Doctors

NPI 1003913435

Timothy Kemp Ambrose, PHD

Practitioner Clinical Psychologist Pahoa, HI

Practice location

Address
14-4034 Pahoa-Kalapana Road, Pahoa, HI 96778
Phone
(808) 965-9416
Fax
(808) 965-1661
Mailing address
PO Box 1476, Pahoa, HI 96778-1476

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-735 (HI)

Registry record

NPI
1003913435
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Sep 2006
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.