| NPI | 1447990817 |
|---|---|
| Doing Business As | LICENSED PSYCHOLOGIST |
| Entity Type | Organization |
| Authorized Contact | JAMES L BIBB Owner, Licensed Psychologist 808-375-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |