Organization
JULIE Y. TAKISHIMA-LACASA, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE YURIE TAKISHIMA-LACASA PHD (OWNER)
(808) 271-7748
Entity
Organization
Contact information
Practice address
850 W HIND DR STE 202, HONOLULU, HI 96821-1845
(808) 427-2139
Mailing address
819 KAINOA PL, HONOLULU, HI 96821-1737
(808) 271-7748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0374789
HAWAII MEDICAL SERVICE ASSOCIATION ONLINE CARE
HI
01
—
00D0374787
HAWAII MEDICAL SERVICE ASSOCIATION
HI
01
—
13911190
HAWAII MEDICAL ASSURANCE ASSOCIATION
HI
01
—
U073078
UNIVERSITY HEALTH ALLIANCE
HI
Enumeration date
08/13/2022
Last updated
08/13/2022
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