| Organization Name: | EMILY L. SHIRAISHI, PSY.D., LLC |
| NPI Number: | 1003159815 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EMILY SHIRAISHI (OWNER) |
| Mailing Address: | 850 W Hind Dr Suite 110 Honolulu |
| State: | HI US |
| Postal Code: | 968211855 |
| Phone Number: | 8083218482 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2013 |
| NPI Last Update Date: | 08/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | PSY-1169 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |