Organization
LARISSA CORDEIRA PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISSA CORDEIRA PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(808) 721-7481
Entity
Organization
Contact information
Practice address
66-590 KAMEHAMEHA HWY STE 2G, HALEIWA, HI 96712-1484
(808) 721-7481
(808) 888-0550
Mailing address
PO BOX 566, HALEIWA, HI 96712-0566
(808) 721-7481
(808) 888-0550
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY-1713
HI
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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