Provider Demographics
NPI:1528523248
Name:PAMELA MATSUDA FRIAR LCSW, INC.
Entity type:Organization
Organization Name:PAMELA MATSUDA FRIAR LCSW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:MATSUDA
Authorized Official - Last Name:FRIAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-387-4023
Mailing Address - Street 1:44-141 HAKO ST APT 5
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2511
Mailing Address - Country:US
Mailing Address - Phone:808-387-4023
Mailing Address - Fax:
Practice Address - Street 1:25 KANEOHE BAY DR STE 204
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1734
Practice Address - Country:US
Practice Address - Phone:808-387-4023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health