Organization
LIZA M. WACKER, PSY.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA MALIA WACKER PSY.D. (PRESIDENT)
(808) 927-2587
Entity
Organization
Contact information
Practice address
3599 WAIALAE AVENUE, HONOLULU, HI 96816
(808) 927-2587
(866) 530-6345
Mailing address
P.O. BOX 25809, HONOLULU, HI 96825
(808) 927-2587
(866) 530-6345
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY788
HI
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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