Individual
LISA CHRISTINE CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6099 HERON AVE, EWA BEACH, HI 96706-3367
(612) 578-4148
Mailing address
6099 HERON AVE, EWA BEACH, HI 96706-3367
(612) 578-4148
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1573
HI
Other
Enumeration date
03/07/2014
Last updated
10/04/2019
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