| Doctor Name: | DR. MICHELLE D KANG-MOSHER |
| NPI Number: | 1023131935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 8720 |
| Business Practice Address: | 86-260 Farrington Hwy Waianae, HI - 967923128 |
| Business Phone Number: | 8086967081 |
| Business Fax Number: | |
| Mailing Address: | 2176 Lauwiliwili St # 102, KAPOLEI |
| State: | HI |
| Postal Code: | 967071881 |
| Phone Number: | 8087720862 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 11/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8720 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |