Individual
SANDRA JOY KOSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2752 OHINA ST, KIHEI, HI 96753-8548
(808) 875-1348
(808) 442-0042
Mailing address
1215 S KIHEI RD, STE 0-208, KIHEI, HI 96753-5220
(808) 875-1348
(808) 442-0042
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY424
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HMSA00C0080832
HMSA PROVIDER ID
HI
Enumeration date
03/15/2007
Last updated
07/27/2018
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