Healthcare Provider Details

I. General information

NPI: 1518406081
Provider Name (Legal Business Name): LISA GARCIA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA ANN KEHMEIER MA

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-080 KAUHALE ST STE C20
AIEA HI
96701-4114
US

IV. Provider business mailing address

PO BOX 701152
KAPOLEI HI
96709-1152
US

V. Phone/Fax

Practice location:
  • Phone: 808-481-0072
  • Fax: 808-437-5662
Mailing address:
  • Phone: 808-481-0072
  • Fax: 808-437-5662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY1643
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: