Provider Demographics
NPI:1861690174
Name:LIKEWISE, ROGER LEWIS JR (PHD, JD)
Entity type:Individual
Prefix:DR
First Name:ROGER
Middle Name:LEWIS
Last Name:LIKEWISE
Suffix:JR
Gender:M
Credentials:PHD, JD
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Mailing Address - Street 1:520 LUNALILO HOME RD
Mailing Address - Street 2:#5403
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1700
Mailing Address - Country:US
Mailing Address - Phone:808-395-6766
Mailing Address - Fax:
Practice Address - Street 1:1188 BISHOP ST
Practice Address - Street 2:SUITE #2701
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3301
Practice Address - Country:US
Practice Address - Phone:808-585-9494
Practice Address - Fax:808-585-9414
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
HI954103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist