Organization
SHANAHAN FAMILY & IND PSYCH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSWITHA SHANAHAN (CLINICAL PSYCHOLOGIST)
(808) 941-9307
Entity
Organization
Contact information
Practice address
2347 OAHU AVE, HONOLULU, HI 96822-1966
(808) 941-9307
Mailing address
2347 OAHU AVE, HONOLULU, HI 96822-1966
(808) 941-9307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY707
HI
Other
Enumeration date
11/13/2007
Last updated
12/05/2007
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