Provider Demographics
NPI:1699196345
Name:CASSIDAY, PAUL RICHARD PAUMALU III (BA PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:PAUL RICHARD
Middle Name:PAUMALU
Last Name:CASSIDAY
Suffix:III
Gender:M
Credentials:BA PSYCHOLOGY
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Mailing Address - Street 1:615 PIIKOI ST STE 203
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3139
Mailing Address - Country:US
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Practice Address - Street 1:100 KAHELU AVE STE 221
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-3962
Practice Address - Country:US
Practice Address - Phone:808-206-9371
Practice Address - Fax:855-270-7441
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-25
Last Update Date:2024-05-18
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Provider Licenses
StateLicense IDTaxonomies
HILCSW-51401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical