Individual
DR. SADE SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
84-670 UPENA ST, WAIANAE, HI 96792-1934
(808) 688-7172
Mailing address
84-670 UPENA ST, WAIANAE, HI 96792-1934
(808) 594-9544
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1941
HI
103TC0700X
Clinical Psychologist
Primary
06530
MD
Other
Enumeration date
04/19/2021
Last updated
01/10/2023
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