Provider Demographics
NPI:1326805151
Name:CARA LUCEY PSY D LLC
Entity Type:Organization
Organization Name:CARA LUCEY PSY D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:808-591-1123
Mailing Address - Street 1:401 KAMAKEE ST STE 418
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4261
Mailing Address - Country:US
Mailing Address - Phone:808-591-1123
Mailing Address - Fax:
Practice Address - Street 1:401 KAMAKEE ST STE 418
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4261
Practice Address - Country:US
Practice Address - Phone:808-591-1123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty