DR. Blossom Iwalani Fonoimoana, PSYD, MSW, LSW
NPI #1619112877 in Kaunakakai, Hawaii
Provider Information
- NPI Number
- 1619112877
- Entity Type
- Individual
- Name
- DR. Blossom Iwalani Fonoimoana, PSYD, MSW, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PSYD, MSW, LSW
- Enumeration Date
- Dec 2, 2008
- Last Updated
- Sep 27, 2018
Practice Location
- Address
- 604 MAUNALOA HWY
- Address 2
- #C
- City
- Kaunakakai
- State
- Hawaii
- ZIP Code
- 96748-0130
- Phone
- (808) 560-3653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Psychologist |
| Social Worker - Clinical — Clinical |
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