Individual
JULIE YURIE TAKISHIMA-LACASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
850 W HIND DR STE 202, HONOLULU, HI 96821-1845
(808) 427-2139
(808) 353-8010
Mailing address
819 KAINOA PL, HONOLULU, HI 96821-1737
(808) 271-7748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1629
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B0374781
HMSA
HI
01
—
13911190
HMAA
HI
01
—
13911190
CAQH
—
05
—
810235
—
HI
01
—
U073078
UHA
HI
Enumeration date
11/10/2016
Last updated
05/11/2020
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