Individual
DR. SHELLY LUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3-3122 KUHIO HWY STE A15, LIHUE, HI 96766-1157
(808) 246-9102
(808) 246-8609
Mailing address
5108 KUHINA PL, PRINCEVILLE, HI 96722-5116
(808) 652-0466
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1828
HI
Other
Enumeration date
12/13/2016
Last updated
01/22/2020
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