Individual
YURIE I VAN DERMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1050 QUEEN ST STE 100, HONOLULU, HI 96814-4130
(808) 692-3628
Mailing address
1050 QUEEN ST STE 100, HONOLULU, HI 96814-4130
(808) 692-3628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY-2060-0
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2017
Last updated
03/18/2026
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