| Mark Dichner Ph D Inc | |
|
91-1009 Kaimoana St Ewa Beach HI 96706-6071 | |
| (808) 689-8811 | |
| (808) 689-0316 |
| Full Name | Mark Dichner Ph D Inc |
|---|---|
| Speciality | Psychologist |
| Location | 91-1009 Kaimoana St, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Connie Clements Hayes Dichner (OFFICE MANAGER) |
| Authorized Official Contact | 8086898811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Dichner Ph D Inc 91-1009 Kaimoana St Ewa Beach HI 96706-6071 Ph: (808) 689-8811 | Mark Dichner Ph D Inc 91-1009 Kaimoana St Ewa Beach HI 96706-6071 Ph: (808) 689-8811 |
| NPI Number | 1518283365 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 2264743798 |
|---|---|
| Medicare Enrollment ID | O20150624001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518283365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-315 (* (Not Available)) | Primary |
| Provider Name | Mark Daniel Dichner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871674465 PECOS PAC ID: 3971642828 Enrollment ID: I20091205000188 |
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