Organization
STEVEN R. TAKETA, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN RONALD TAKETA PSY.D. (OWNER/OPERATOR)
(808) 782-3551
Entity
Organization
Contact information
Practice address
99-128 AIEA HEIGHTS DR STE 109, AIEA, HI 96701-3916
(808) 782-3551
Mailing address
PO BOX 4613, KANEOHE, HI 96744-8613
(808) 782-3551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY - 1333
HI
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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