| Organization Name: | LISA DUKE PHD LLC |
| NPI Number: | 1184942849 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA ANN DUKE (OWNER/PSYCHOLOGIST) |
| Mailing Address: | 1001 Kamokila Blvd Ste 151 Kapolei |
| State: | HI US |
| Postal Code: | 967072090 |
| Phone Number: | 8082268204 |
| Fax Number: | 8086769250 |
| NPI Enumeration Date: | 05/05/2010 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 1154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |