Pacific Clinic, Inc. | |
4566 Ohia St Kapaa HI 96746-1646 | |
(808) 822-5881 | |
(808) 823-6535 |
Full Name | Pacific Clinic, Inc. |
---|---|
Speciality | Psychologist |
Location | 4566 Ohia St, Kapaa, Hawaii |
Authorized Official Name and Position | Robert J Brown (PHD/OWNER) |
Authorized Official Contact | 8088225881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pacific Clinic, Inc. 4-1191 Kuhio Hwy #289 Kapaa HI 96746-1674 Ph: (808) 822-5881 | Pacific Clinic, Inc. 4566 Ohia St Kapaa HI 96746-1646 Ph: (808) 822-5881 |
NPI Number | 1598965253 |
---|---|
Provider Enumeration Date | 07/20/2007 |
Last Update Date | 07/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598965253 | NPI | - | NPPES |
06530601 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY-433 (Hawaii) | Primary |
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