IndividualActive
Blossom Fonoimoana, PSYD, MSW, LSW
NPI 1619112877 · Psychologist · Kaunakakai, HI
Provider details
- NPI number
- 1619112877
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, MSW, LSW
- Sex
- Female
- Sole proprietor
- No
- License
- LSW 1557 (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
604 Maunaloa Hwy
#c
Kaunakakai, HI 96748-0130
Phone: (808) 560-3653
Fax: (808) 560-3385
Approximate (ZIP-level) locationGet directions
Mailing address
56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Additional practice locations (2)
- 56-660 Kamehameha HwyKahuku, HI 96731-2210Phone: (808) 293-7555Fax: (808) 293-7196
- 832 Kiele StLanai City, HI 96748-0713Phone: (808) 565-7204Fax: (808) 565-9319
Registry dates
- Enumerated
- 2008-12-02
- Last updated
- 2018-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.