Individual
TIFFANY JA'RAE WILSON-LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PSYD
Contact information
Practice address
1441 KAPIOLANI BLVD STE 1802, HONOLULU, HI 96814-4408
(808) 525-6255
(808) 525-6256
Mailing address
86-058 ALTA ST, WAIANAE, HI 96792-3031
(808) 358-0800
(808) 525-6256
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1909
HI
Other
Enumeration date
01/12/2021
Last updated
05/06/2023
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