Individual
LAURIE KEIKO OMURO-YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1787 WILI PA LOOP STE 7, WAILUKU, HI 96793-1271
(808) 249-2121
(808) 242-8920
Mailing address
1787 WILI PA LOOP STE 7, WAILUKU, HI 96793-1271
(808) 249-2121
(808) 242-8920
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-797
HI
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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