Individual
MRS. NICOLE MARIE ROBELLO AURELLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
41-1347 KALANIANAOLE HWY, WAIMANALO, HI 96795-1247
(808) 259-7948
Mailing address
92-1295 HOOKEHA ST, KAPOLEI, HI 96707-1572
(808) 348-1553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 1489
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY- 1489
LICENSE NUMBER
HI
Enumeration date
09/23/2014
Last updated
01/24/2017
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