| Maui Memorial Medical Center - Behavior Health | |
|
221 Mahalani St Wailuku HI 96793-2526 | |
| (808) 244-9056 | |
| Not Available |
| Full Name | Maui Memorial Medical Center - Behavior Health |
|---|---|
| Speciality | Psychologist |
| Location | 221 Mahalani St, Wailuku, Hawaii |
| Authorized Official Name and Position | Russell Johnson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8082422027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maui Memorial Medical Center - Behavior Health 221 Mahalani St Wailuku HI 96793-2526 Ph: (808) 244-9056 | Maui Memorial Medical Center - Behavior Health 221 Mahalani St Wailuku HI 96793-2526 Ph: (808) 244-9056 |
| NPI Number | 1528391448 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528391448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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