Provider Demographics
NPI:1336605310
Name:MAASSEN, LANI E (PSYD)
Entity Type:Individual
Prefix:
First Name:LANI
Middle Name:E
Last Name:MAASSEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 NUUANU AVE APT E2314
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-6044
Mailing Address - Country:US
Mailing Address - Phone:402-880-6686
Mailing Address - Fax:
Practice Address - Street 1:1255 NUUANU AVE APT E2314
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-6044
Practice Address - Country:US
Practice Address - Phone:402-880-6686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic