Organization
LISA A.K. KANESHIRO, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A.K. KANESHIRO PSYD (SOLE MEMBER)
(808) 933-1313
Entity
Organization
Contact information
Practice address
1266 KAMEHAMEHA AV, SUITE B, HILO, HI 96720
(808) 933-1313
Mailing address
1266 KAMEHAMEHA AVENUE, SUITE B, HILO, HI 96720
(808) 933-1313
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-848
HI
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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