Provider Demographics
NPI:1144666041
Name:SATO-YUEN, RENEE
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SATO-YUEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 PATTERSON RD. (122RSY)
Mailing Address - Street 2:DEPT. OF VETERANS AFFAIRS - PIHCS
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-9898
Mailing Address - Country:US
Mailing Address - Phone:808-433-7648
Mailing Address - Fax:808-433-7744
Practice Address - Street 1:459 PATTERSON RD. (122RSY)
Practice Address - Street 2:DEPT. OF VETERANS AFFAIRS - PIHCS
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-9898
Practice Address - Country:US
Practice Address - Phone:808-433-7648
Practice Address - Fax:808-433-7744
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI115104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker