Individual
MARISSA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3375 KOAPAKA ST, SUITE I-560, HONOLULU, HI 96819-1800
(808) 538-2533
Mailing address
3375 KOAPAKA ST, SUITE I-560, HONOLULU, HI 96819-1800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 1420
HI
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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