Individual
NICOLETTE DESUMRAK-MESSINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
99-128 AIEA HEIGHTS DR, AIEA, HI 96701-3925
(714) 494-6896
Mailing address
PO BOX 974, KAILUA, HI 96734-0974
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810005769
VA
103TC0700X
Clinical Psychologist
Primary
1932-0
HI
Other
Enumeration date
08/10/2017
Last updated
09/21/2021
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