Individual
DR. NALANI TAVIA GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., CSAC
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 655-9034
Mailing address
1154 AIKOO PL, PEARL CITY, HI 96782-2621
(808) 478-1842
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 1127
HI
Other
Enumeration date
07/23/2009
Last updated
09/09/2011
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