Individual
DR. ROSWITHA J SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
821A CEDAR ST, HONOLULU, HI 96814-2330
(808) 277-7040
Mailing address
821A CEDAR ST, HONOLULU, HI 96814-2330
(808) 277-7040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY707
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49945102
—
HI
Enumeration date
04/07/2007
Last updated
12/12/2021
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