| Full Name | |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 25 Kahoa St, Hilo, Hawaii |
| Authorized Official Name and Position | Lorraine Razzi Freedle (PRESIDENT) |
| Authorized Official Contact | 8083451726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 4249 Hilo HI 96720-0249 Ph: (808) 345-1726 | 25 Kahoa St Hilo HI 96720-2205 Ph: (808) 345-1726 |
| NPI Number | 1275162281 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 04/02/2020 |
| Certification Date | 04/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275162281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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