| Integrated Psychological Services, Hawaii | |
|
46-3694 Puaono Rd Honokaa HI 96727-7057 | |
| (808) 747-5435 | |
| (866) 384-4779 |
| Full Name | Integrated Psychological Services, Hawaii |
|---|---|
| Speciality | Psychologist |
| Location | 46-3694 Puaono Rd, Honokaa, Hawaii |
| Authorized Official Name and Position | Jeff Gedney (OWNER/MANAGER) |
| Authorized Official Contact | 8087475435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psychological Services, Hawaii Po Box 326 Honokaa HI 96727-0326 Ph: (808) 747-5435 | Integrated Psychological Services, Hawaii 46-3694 Puaono Rd Honokaa HI 96727-7057 Ph: (808) 747-5435 |
| NPI Number | 1790026557 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 03/04/2013 |
| Medicare PECOS PAC ID | 1759520679 |
|---|---|
| Medicare Enrollment ID | O20130625000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790026557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY1374 (Florida) | Primary |
| Provider Name | Jeffrey Jay Gedney |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1598710451 PECOS PAC ID: 1052382264 Enrollment ID: I20130625000375 |
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