Individual
JENNIFER MALIA TAKAHASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1215 CENTER ST, SUITE 203, HONOLULU, HI 96816-3209
(808) 271-0200
Mailing address
3946 HARDING AVE, HONOLULU, HI 96816-4110
(808) 737-1078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
730
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000236216
HMSA-QUEST
HI
01
—
23621-6
HMSA
HI
05
—
500258
—
HI
Enumeration date
02/19/2007
Last updated
08/16/2012
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