Individual
LIZA MALIA WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3599 WAIALAE AVE, HONOLULU, HI 96816-2776
(808) 927-2587
(866) 530-6345
Mailing address
PO BOX 25809, HONOLULU, HI 96825-0809
(808) 927-2587
(866) 530-6345
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY788
HI
Other
Enumeration date
12/04/2006
Last updated
11/12/2014
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