Individual
JONI A WADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4800 KAWAIHAU RD STE D, KAPAA, HI 96746-1964
(808) 240-0194
(808) 822-9298
Mailing address
PO BOX 3990, LIHUE, HI 96766-6990
(808) 240-0194
(808) 245-4146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-1227
HI
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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