Individual
DR. LEVI KAMUELA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
94-730 FARRINGTON HWY, SUITE 401, WAIPAHU, HI 96797
(808) 691-0992
Mailing address
94-229 WAIPAHU DEPOT ST STE 401, WAIPAHU, HI 96797-3034
(808) 691-0992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-1654
HI
103TC0700X
Clinical Psychologist
Primary
PSY-1654
HI
Other
Enumeration date
05/23/2024
Last updated
05/24/2024
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