Provider Demographics
NPI:1205545050
Name:PAGAT, DANIELLE LYNN (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:LYNN
Last Name:PAGAT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 242
Mailing Address - Street 2:590 FARRINGTON HWY UNIT 210
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2002
Mailing Address - Country:US
Mailing Address - Phone:808-476-3336
Mailing Address - Fax:
Practice Address - Street 1:PMB 242
Practice Address - Street 2:590 FARRINGTON HWY UNIT 210
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2002
Practice Address - Country:US
Practice Address - Phone:808-476-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-2049103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty