Organization
SEASIDE PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA S ANDERSON PSYD (PRESIDENT)
(808) 639-1404
Entity
Organization
Contact information
Practice address
2330 KOLO ROAD, KILAUEA, HI 96754-1237
(808) 639-1404
Mailing address
PO BOX 1237, KILAUEA, HI 96754-1237
(808) 639-1404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY 680
HI
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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