Organization
BLACK SAND NEUROPSYCHOLOGICAL SERVICES, INC.
Active
Other names
Black Sand Neuropsychological Services, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE RAZZI FREEDLE LCSW, PHD (PRESIDENT)
(808) 345-1726
Entity
Organization
Contact information
Practice address
25 KAHOA ST, HILO, HI 96720-2205
(808) 345-1726
Mailing address
PO BOX 4249, HILO, HI 96720-0249
(808) 345-1726
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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