Organization
MAUNA PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVIS KEALANOHEA KANE PHD (OWNER)
(801) 609-8847
Entity
Organization
Contact information
Practice address
3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
(801) 609-8847
Mailing address
3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
(801) 609-8847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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