Individual
DR. KIMBERLY MIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3627 KILAUEA AVE, HONOLULU, HI 96816-2317
(808) 733-9393
Mailing address
3627 KILAUEA AVE # 401, HONOLULU, HI 96816-2317
(808) 733-9393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1531
HI
Other
Enumeration date
06/27/2013
Last updated
01/25/2016
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