Individual
DR. STEVEN RONALD TAKETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1113 KAPAHULU AVE, SUIT C, HONOLULU, HI 96816-5866
(808) 782-3551
Mailing address
PO BOX 4613, KANEOHE, HI 96744-8613
(808) 782-3551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1333
HI
103TF0200X
Forensic Psychologist
PSY-1333
HI
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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