Provider Demographics
NPI:1497701007
Name:LIU-TOM, HSIN-TINE TINA (PHD)
Entity type:Individual
Prefix:DR
First Name:HSIN-TINE
Middle Name:TINA
Last Name:LIU-TOM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:HSIN-TINE
Other - Middle Name:TINA
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1188 BISHOP ST
Mailing Address - Street 2:SUITE 2907
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3301
Mailing Address - Country:US
Mailing Address - Phone:808-781-5607
Mailing Address - Fax:808-536-4668
Practice Address - Street 1:1188 BISHOP ST
Practice Address - Street 2:SUITE 2907
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3301
Practice Address - Country:US
Practice Address - Phone:808-781-5607
Practice Address - Fax:808-536-4668
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-813103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIQ26343Medicare UPIN