Individual
NEIL O ANNANDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., CGP
Contact information
Practice address
54-242B HONOMU STREET, HAUULA, HI 96717
(808) 429-5504
Mailing address
P.O. BOX 804, HAUULA, HI 96717
(808) 429-5504
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1202
HI
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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