| Doctor Name: | LISA KANESHIRO |
| NPI Number: | 1134177785 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY |
| License Number: | PSY848 |
| Business Practice Address: | 15-2866 Pahoa Villiage Road Pahoa, HI - 96778 |
| Business Phone Number: | 8089659711 |
| Business Fax Number: | 8089656240 |
| Mailing Address: | 311 Kalanianaole Ave, HILO |
| State: | HI |
| Postal Code: | 967204740 |
| Phone Number: | 8089691427 |
| Fax Number: | 8089614795 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |