Individual
CHERI ANN EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1847 S KIHEI RD STE 205, KIHEI, HI 96753-7939
(808) 280-2067
Mailing address
PO BOX 958, KIHEI, HI 96753-0958
(808) 743-5358
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY20533
CA
103TC0700X
Clinical Psychologist
Primary
PSY363
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02660802
—
HI
01
—
29751
HMSA
—
Enumeration date
12/12/2006
Last updated
09/18/2023
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