Provider Demographics
NPI:1033275920
Name:GARRETT, CATHERINE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:GARRETT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:GARRETT OLMOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:98 211 PALI MOMI ST
Mailing Address - Street 2:SUITE 810
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-485-2800
Mailing Address - Fax:808-247-7151
Practice Address - Street 1:98 211 PALI MOMI ST
Practice Address - Street 2:SUITE 810
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-485-2800
Practice Address - Fax:808-247-7151
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI002229Medicaid
HIPSY60002OtherMDX
HI512234OtherHMA
HI0211052OtherHMSA