Organization
CENTER FOR INTEGRATIVE THERAPY
Active
Parent organization
SOPHIA WANG & ASSOCIATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOPHIA WANG & ASSOCIATES, INC.
Authorized official
SOPHIA J WANG PH.D. (EXECUTIVE OFFICER)
(808) 329-7176
Entity
Organization
Contact information
Practice address
77-6425 KUAKINI HWY, SUITE D-102, KAILUA KONA, HI 96740-3213
(808) 329-7176
(808) 326-1279
Mailing address
PO BOX 4938, KAILUA KONA, HI 96745-4938
(808) 329-7176
(808) 326-1279
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1104
HI
Other
Enumeration date
06/28/2007
Last updated
08/08/2013
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