Individual
DR. TRACIE L. TAKESHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1601 PUNAHOU ST, HONOLULU, HI 96822-3336
(808) 944-5711
Mailing address
1601 PUNAHOU ST, HONOLULU, HI 96822-3336
(808) 944-5711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 912
HI
Other
Enumeration date
07/19/2006
Last updated
08/13/2013
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