Organization
SHARI AU PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARI AU PHD (OWNER)
(808) 398-4398
Entity
Organization
Contact information
Practice address
1188 BISHOP ST STE 2904, HONOLULU, HI 96813-3312
(801) 682-3865
Mailing address
1702 KEWALO ST APT 403, HONOLULU, HI 96822-3096
(808) 398-4398
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
1132
HI
103TB0200X
Cognitive & Behavioral Psychologist
1132
HI
103TC0700X
Clinical Psychologist
Primary
1132
HI
103TC1900X
Counseling Psychologist
1132
HI
103TC2200X
Clinical Child & Adolescent Psychologist
1132
HI
103TS0200X
School Psychologist
1132
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D0288672
HAWAII MEDICAL SERVICE ASSOCIATION
HI
05
—
250700
—
HI
Enumeration date
10/31/2017
Last updated
11/09/2017
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