| Clinical & Counseling Psychology | |
|
2525 S King St Suite 311 Honolulu HI 96826-3101 | |
| (808) 949-1555 | |
| (808) 949-1554 |
| Full Name | Clinical & Counseling Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 2525 S King St, Honolulu, Hawaii |
| Authorized Official Name and Position | Renee K Pangilinan (OWNER) |
| Authorized Official Contact | 8089491555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical & Counseling Psychology 2525 S King St Suite 311 Honolulu HI 96826-3101 Ph: (808) 949-1555 | Clinical & Counseling Psychology 2525 S King St Suite 311 Honolulu HI 96826-3101 Ph: (808) 949-1555 |
| NPI Number | 1770755811 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Medicare PECOS PAC ID | 8426002510 |
|---|---|
| Medicare Enrollment ID | O20050311000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770755811 | NPI | - | NPPES |
| 564212 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY872 (Hawaii) | Primary |
| Provider Name | Renee K Pangilinan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225101710 PECOS PAC ID: 1052369519 Enrollment ID: I20050312000046 |
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