Healthcare Provider Details

I. General information

NPI: 1881106763
Provider Name (Legal Business Name): SHARI AU PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 11/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 BISHOP ST STE 2904
HONOLULU HI
96813-3312
US

IV. Provider business mailing address

1702 KEWALO ST APT 403
HONOLULU HI
96822-3096
US

V. Phone/Fax

Practice location:
  • Phone: 801-682-3865
  • Fax:
Mailing address:
  • Phone: 808-398-4398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number1132
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number1132
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1132
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1132
License Number StateHI
# 5
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1132
License Number StateHI
# 6
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1132
License Number StateHI

VIII. Authorized Official

Name: DR. SHARI AU
Title or Position: OWNER
Credential: PHD
Phone: 808-398-4398