Provider Demographics
NPI:1821012790
Name:KWOK, SHIRLEY (MFTI)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:
Last Name:KWOK
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1121 KEAUNUI DR STE 108
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6365
Mailing Address - Country:US
Mailing Address - Phone:714-657-8702
Mailing Address - Fax:714-254-8480
Practice Address - Street 1:91-1160 KAMAKANA ST, APT 504
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706
Practice Address - Country:US
Practice Address - Phone:714-657-8702
Practice Address - Fax:714-254-8480
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist