Organization
LOTUS PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA FUJII PSYD (MANAGER)
(808) 285-2554
Entity
Organization
Contact information
Practice address
99-080 KAUHALE ST STE C20, AIEA, HI 96701-4114
(808) 285-2554
Mailing address
99-080 KAUHALE ST STE C20, AIEA, HI 96701-4114
(808) 285-2554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY#1321
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736663
—
HI
Enumeration date
07/28/2016
Last updated
07/28/2016
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