Individual
MADELINE DIANE MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 KAMOKILA BLVD STE 355, KAPOLEI, HI 96707-2035
(808) 733-9357
(808) 733-9357
Mailing address
719 12TH AVE, HONOLULU, HI 96816-6453
(360) 558-8151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NA
HI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
HI
Other
Enumeration date
04/07/2026
Last updated
05/01/2026
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