| Dennis Paul Itoga, Psy.d., M.ed., Llc | |
|
2126 Mott-smith Dr Honolulu HI 96822-2516 | |
| (808) 352-7911 | |
| Not Available |
| Full Name | Dennis Paul Itoga, Psy.d., M.ed., Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2126 Mott-smith Dr, Honolulu, Hawaii |
| Authorized Official Name and Position | Dennis P Itoga (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 8083527911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Paul Itoga, Psy.d., M.ed., Llc 2126 Mott-smith Dr Honolulu HI 96822-2516 Ph: (808) 352-7911 | Dennis Paul Itoga, Psy.d., M.ed., Llc 2126 Mott-smith Dr Honolulu HI 96822-2516 Ph: (808) 352-7911 |
| NPI Number | 1568195337 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568195337 | NPI | - | NPPES |
| 1619453180 | Other | HI | HMSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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