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NPI Code Detail

MEDICARE: DR. SHERI SLOGGETT SHANKS PSY.D.

MEDICARE:  DR. SHERI SLOGGETT SHANKS  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY821HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10024OTHERHIHMSA PROVIDER #

General Provider Information

NPI Number : 1962457317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERI SLOGGETT SHANKS PSY.D.
Provider Business Mailing Address
First Line : PO BOX 25685
Second Line :
City : HONOLULU
State : HI
Zip : 96825-0685
Country : US
Telephone Number : 808-735-2494
Fax Number : 866-334-4352
Provider Business Practice Location Address
First Line : 1 KEAHOLE PL APT 2208
Second Line :
City : HONOLULU
State : HI
Zip : 96825-3418
Country : US
Telephone Number : 808-735-2494
Fax Number : 866-334-4352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 04/12/2021

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Directions to “ DR. SHERI SLOGGETT SHANKS PSY.D.” Practice Location

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