Organization
THE MISAKA CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MISAKA PSY.D. (PRESIDENT)
(808) 488-7177
Entity
Organization
Contact information
Practice address
99-128 AIEA HEIGHTS DR, SUITE 704, AIEA, HI 96701-3925
(808) 488-7177
Mailing address
99-128 AIEA HEIGHTS DR, SUITE 704, AIEA, HI 96701-3925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-777
HI
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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