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Individual

DR. DIANNE M GERARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4371 PUAOLE STREET, SUITE B, LIHUE, HI 96766-1231
(808) 246-4501
(808) 245-7504
Mailing address
4371 PUAOLE STREET, SUITE B, LIHUE, HI 96766-1231
(808) 246-4501
(808) 245-7504

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY258
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04472501
HI
Enumeration date
11/27/2006
Last updated
07/08/2007
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