| Carol L Nowak Phd Inc | |
|
45-024 Malulani St # 1 Kaneohe HI 96744-2433 | |
| (808) 247-0535 | |
| (808) 234-0872 |
| Full Name | Carol L Nowak Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 45-024 Malulani St # 1, Kaneohe, Hawaii |
| Authorized Official Name and Position | Carol L Nowak (PRESIDENT) |
| Authorized Official Contact | 8082470535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol L Nowak Phd Inc 45-024 Malulani St # 1 Kaneohe HI 96744-2433 Ph: (808) 247-0535 | Carol L Nowak Phd Inc 45-024 Malulani St # 1 Kaneohe HI 96744-2433 Ph: (808) 247-0535 |
| NPI Number | 1619042868 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567545890 |
|---|---|
| Medicare Enrollment ID | O20080211000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619042868 | NPI | - | NPPES |
| 02570601 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY473 (Hawaii) | Primary |
| Provider Name | Carol L Nowak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255516563 PECOS PAC ID: 8729013693 Enrollment ID: I20050929000020 |
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