Individual
DR. BOBBI CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
98-084 KAMEHAMEHA HWY, SUITE 304, AIEA, HI 96701-5122
(808) 484-5995
(808) 484-5995
Mailing address
PO BOX 394, PEARL CITY, HI 96782-0394
(808) 484-5995
(808) 484-5995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 551
HI
103TC0700X
Clinical Psychologist
Primary
PSY551
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002091-01
—
HI
Enumeration date
02/06/2007
Last updated
07/08/2007
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