Susan J Licoan, PSYD is a
Psychologist - Clinical based in Ookala, Hawaii. Susan J Licoan is licensed to practice in Hawaii (license number 1214) and her current practice location is
39 3301 Milo Place, Ookala, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 896-7186.
NPI number for Susan J Licoan is 1003117268 and her current mailing address is Po Box 1578, Honokaa, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003117268.
Healthcare Provider's Profile
| Full Name | Susan J Licoan |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 39 3301 Milo Place, Ookala, Hawaii |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003117268
- Provider Enumeration Date: 11/04/2010
- Last Update Date: 05/12/2013
Medical Identifiers
Medical identifiers for Susan J Licoan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003117268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1214 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan J Licoan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan J Licoan, PSYD
Po Box 1578,
Honokaa, HI 96727-1578
Ph: (808) 896-7186 | Susan J Licoan, PSYD
39 3301 Milo Place,
Ookala, HI 96774
Ph: (808) 896-7186 |
Reviews and Comments