Individual
LISA KANESHIRO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY
Contact information
Practice address
15-2866 PAHOA VILLIAGE ROAD, PAHOA, HI 96778
(808) 965-9711
(808) 965-6240
Mailing address
311 KALANIANAOLE AVE, HILO, HI 96720-4740
(808) 969-1427
(808) 961-4795
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY848
HI
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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