Individual provider · Type 1 NPI
Susan J. Licoan, PSYD
Clinical Psychologist · Ookala, HI
Practice location
39 3301 Milo Place
Ookala, HI 96774
Fax (808) 962-6943
Mailing address
PO Box 1578
Honokaa, HI 96727-1578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 1214 (HI) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
About NPI 1003117268
Susan J. Licoan, PSYD's National Provider Identifier is 1003117268, issued on Nov 4, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Ookala, HI. The record was last updated on May 12, 2013.