Individual
DR. SHARON RAE LIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
272 LANAI AVE., LANAI CITY, HI 96763
(808) 649-0032
Mailing address
PO BOX 631138, 272 LANAI AVENUE, LANAI CITY, HI 96763-1138
(808) 649-0032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY-16129
CA
103TC0700X
Clinical Psychologist
Primary
PSY-1779
HI
106H00000X
Marriage & Family Therapist
MFC32157
CA
106H00000X
Marriage & Family Therapist
MFT-81
HI
Other
Enumeration date
04/07/2008
Last updated
06/07/2019
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