Organization
LIGHTHOUSE THERAPY & DIAGNOSTIC SERVICES
Active
Other names
Shelly Ludolph
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY LUDOLPH PSYD (CLINICAL PSYCHOLOGIST)
(808) 652-0466
Entity
Organization
Contact information
Practice address
2509 KOLO ROAD, KILAUEA, HI 96754
(808) 652-0466
Mailing address
5108 KUHINA PL, PRINCEVILLE, HI 96722-5116
(808) 652-0466
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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