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Contact Information

LIGHTHOUSE THERAPY & DIAGNOSTIC SERVICES
2509 KOLO ROAD
KILAUEA, HI96754
 Phone: 808-652-0466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE THERAPY & DIAGNOSTIC SERVICES

NPI Number 1710511100
LBN Legal business name LIGHTHOUSE THERAPY & DIAGNOSTIC SERVICES
Authorized official SHELLY LUDOLPH - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2020
Last updated 02/25/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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