Organization
GINA LEONG SAMALA, PSY.D, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA LEONG SAMALA PSY.D. (PRESIDENT)
(808) 625-7448
Entity
Organization
Contact information
Practice address
95-1249 MEHEULA PKWY, SUITE B30 UNIT 195, MILILANI, HI 96789-1779
(808) 625-7448
(808) 625-7448
Mailing address
85-979 FARRINGTON HWY STE C, WAIANAE, HI 96792-2678
(808) 625-7448
(808) 625-7448
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-756
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56756301
—
HI
01
—
H56631
MEDICARE INDIVIDUAL PIN
HI
Enumeration date
01/15/2008
Last updated
01/15/2008
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