Individual
DR. MIMI ANDJELIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3469
Mailing address
3042 MAKINI ST, HONOLULU, HI 96815-4244
(808) 224-9825
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1583
HI
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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