| Holistic Psychology Hawaii Inc | |
|
591 Alihi Pl Kailua HI 96734-3981 | |
| (808) 386-6326 | |
| Not Available |
| Full Name | Holistic Psychology Hawaii Inc |
|---|---|
| Speciality | Psychologist |
| Location | 591 Alihi Pl, Kailua, Hawaii |
| Authorized Official Name and Position | Dhira Dibiase (OWNER) |
| Authorized Official Contact | 8083866326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psychology Hawaii Inc 591 Alihi Pl Kailua HI 96734-3981 Ph: (808) 386-6326 | Holistic Psychology Hawaii Inc 591 Alihi Pl Kailua HI 96734-3981 Ph: (808) 386-6326 |
| NPI Number | 1457945339 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 02/22/2021 |
| Certification Date | 02/22/2021 |
| Medicare PECOS PAC ID | 8022427566 |
|---|---|
| Medicare Enrollment ID | O20210512003042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457945339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dhira Dibiase |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407339344 PECOS PAC ID: 3072859248 Enrollment ID: I20190108003832 |
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