| Maui Neuropsychology Group, Inc | |
|
285 W Kaahumanu Ave Ste 202 Kahului HI 96732-1623 | |
| (866) 855-2427 | |
| Not Available |
| Full Name | Maui Neuropsychology Group, Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 285 W Kaahumanu Ave Ste 202, Kahului, Hawaii |
| Authorized Official Name and Position | C Swann (CEO) |
| Authorized Official Contact | 8668552427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maui Neuropsychology Group, Inc 153 E Kamehameha Ave Ste 104-248 Kahului HI 96732-3424 Ph: () - | Maui Neuropsychology Group, Inc 285 W Kaahumanu Ave Ste 202 Kahului HI 96732-1623 Ph: (866) 855-2427 |
| NPI Number | 1982330916 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Medicare PECOS PAC ID | 1153705645 |
|---|---|
| Medicare Enrollment ID | O20220901001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982330916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | C Agar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568532968 PECOS PAC ID: 1153692744 Enrollment ID: I20220902001118 |
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