| Susan Li, Psyd Llc | |
|
3615 Harding Ave Ste 305b Honolulu HI 96816-3759 | |
| (808) 721-2539 | |
| Not Available |
| Full Name | Susan Li, Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3615 Harding Ave Ste 305b, Honolulu, Hawaii |
| Authorized Official Name and Position | Susan Li (MEMBER) |
| Authorized Official Contact | 8087212539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Li, Psyd Llc Po Box 10869 Honolulu HI 96816-0869 Ph: () - | Susan Li, Psyd Llc 3615 Harding Ave Ste 305b Honolulu HI 96816-3759 Ph: (808) 721-2539 |
| NPI Number | 1073021739 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Medicare PECOS PAC ID | 4385904374 |
|---|---|
| Medicare Enrollment ID | O20180213001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073021739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan Hs Li |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356581375 PECOS PAC ID: 1153474853 Enrollment ID: I20090728000639 |
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