Organization
KELLY H TAKASAWA, PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY TAKASAWA PSYD (CLINICAL PSYCHOLOGIST)
(808) 538-7793
Entity
Organization
Contact information
Practice address
1221 KAPIOLANI BLVD STE 211, HONOLULU, HI 96814-3506
(808) 538-7793
Mailing address
1221 KAPIOLANI BLVD STE 211, HONOLULU, HI 96814-3506
(808) 538-7793
(808) 538-7799
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1215
HI
103TH0004X
Health Psychologist
PSY-1215
HI
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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