Provider Demographics
NPI:1447296603
Name:GIGANTE, JAMIE RONNEE HORTON (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:RONNEE HORTON
Last Name:GIGANTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:RONNEE
Other - Last Name:HORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1330 WILDER AVE
Mailing Address - Street 2:#314
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-4293
Mailing Address - Country:US
Mailing Address - Phone:808-282-5874
Mailing Address - Fax:
Practice Address - Street 1:1221 KAPIOLANI BLVD PH 38
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3518
Practice Address - Country:US
Practice Address - Phone:808-282-5874
Practice Address - Fax:888-377-9159
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI859103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI535986OtherHMN
HI342060321OtherHMAA