| Kona Therapy Associates Inc. | |
|
101 Aupuni St. Ste #118 Hilo HI 96720-4260 | |
| (808) 961-5500 | |
| Not Available |
| Full Name | Kona Therapy Associates Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 101 Aupuni St., Hilo, Hawaii |
| Authorized Official Name and Position | Bruce A. Hansen (DIRECTOR) |
| Authorized Official Contact | 8089615500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kona Therapy Associates Inc. 101 Aupuni St. Ste #118 Hilo HI 96720-4260 Ph: (808) 961-5500 | Kona Therapy Associates Inc. 101 Aupuni St. Ste #118 Hilo HI 96720-4260 Ph: (808) 961-5500 |
| NPI Number | 1043386840 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043386840 | NPI | - | NPPES |
| 04937802 | Medicaid | HI | |
| 04937803 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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