Individual
DR. RAYMOND LEE LEVISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
210 WARD AVE, #124, HONOLULU, HI 96814-4008
(808) 489-5558
(808) 585-0379
Mailing address
445 SEASIDE AVE, # 2518, HONOLULU, HI 96815-2640
(808) 489-5558
(808) 585-0379
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-823
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000246991
HMSA
HI
01
—
990339751-96813-B004
TRICARE
HI
Enumeration date
05/22/2007
Last updated
04/11/2011
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