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Individual

DR. LAURA SPRAGUE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
4-1435 KUHIO HWY, SUITE 201, KAPAA, HI 96746-1745
(808) 639-1404
(808) 822-4412
Mailing address
PO BOX 1237, KILAUEA, HI 96754-1237
(808) 639-1404
(808) 822-4412

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 680
HI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY 680
HI

Other

Enumeration date
03/05/2013
Last updated
03/05/2013
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