Healthcare Provider Details

I. General information

NPI: 1215993316
Provider Name (Legal Business Name): MARY LOU FRANCIS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1833 KALAKAUA AVE SUITE 503
HONOLULU HI
96815-1527
US

IV. Provider business mailing address

459 PATTERSON RD E-WING, R&D, ROOM 4-A101, (151)
HONOLULU HI
96819-1522
US

V. Phone/Fax

Practice location:
  • Phone: 808-640-4826
  • Fax:
Mailing address:
  • Phone: 808-433-7786
  • Fax: 808-433-0379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPSY-764
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: