| Psyche, Inc. Dba Gail D Ingram, M.d. | |
|
3809 Sierra Dr Honolulu HI 96816-3819 | |
| (808) 737-3737 | |
| (808) 737-3737 |
| Full Name | Psyche, Inc. Dba Gail D Ingram, M.d. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3809 Sierra Dr, Honolulu, Hawaii |
| Authorized Official Name and Position | Gail Denise Ingram (OWNER) |
| Authorized Official Contact | 8087373737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyche, Inc. Dba Gail D Ingram, M.d. 3809 Sierra Dr Honolulu HI 96816-3819 Ph: (808) 737-3737 | Psyche, Inc. Dba Gail D Ingram, M.d. 3809 Sierra Dr Honolulu HI 96816-3819 Ph: (808) 737-3737 |
| NPI Number | 1114105848 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114105848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MD7761 (Hawaii) | Primary |
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