Healthcare Provider Details

I. General information

NPI: 1114854171
Provider Name (Legal Business Name): LORIE OKADA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2444 DOLE STREET KRAUSS HALL 101
HONOLULU HI
96822-2294
US

IV. Provider business mailing address

2530 DOLE STREET SAKAMAKI C400
HONOLULU HI
96822-2294
US

V. Phone/Fax

Practice location:
  • Phone: 808-956-9559
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: