Provider Demographics
NPI:1053621508
Name:VAJDA, EDITH (PSYD)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:
Last Name:VAJDA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:EDIE
Other - Middle Name:
Other - Last Name:VAJDA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:615 PIIKOI ST
Mailing Address - Street 2:STE 1605
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3142
Mailing Address - Country:US
Mailing Address - Phone:808-352-5050
Mailing Address - Fax:808-564-0029
Practice Address - Street 1:615 PIIKOI ST
Practice Address - Street 2:STE 1605
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3142
Practice Address - Country:US
Practice Address - Phone:808-352-5050
Practice Address - Fax:808-564-0029
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health