Provider Demographics
NPI:1790505295
Name:SHERI YASUNA, PH.D., LLC
Entity type:Organization
Organization Name:SHERI YASUNA, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:YASUNA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-354-0597
Mailing Address - Street 1:91-1039 KAIAPELE ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6208
Mailing Address - Country:US
Mailing Address - Phone:808-354-0597
Mailing Address - Fax:808-441-9959
Practice Address - Street 1:550 KUNEHI ST APT 206
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2069
Practice Address - Country:US
Practice Address - Phone:808-354-0597
Practice Address - Fax:808-441-9959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)