Psychological Evaluation Center Of North America (pecna) | |
1003 Bishop Street Suite 2700 Pmb #368 Honolulu HI 96813-9262 | |
(949) 949-1001 | |
Not Available |
Full Name | Psychological Evaluation Center Of North America (pecna) |
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Speciality | Psychologist - Clinical |
Location | 1003 Bishop Street, Honolulu, Hawaii |
Authorized Official Name and Position | Irada Wattanavitukul (CLINICAL DIRECTOR) |
Authorized Official Contact | 9499490002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychological Evaluation Center Of North America (pecna) 34821 Camino Capistrano Capistrano Beach CA 92624-1722 Ph: (949) 949-0002 | Psychological Evaluation Center Of North America (pecna) 1003 Bishop Street Suite 2700 Pmb #368 Honolulu HI 96813-9262 Ph: (949) 949-1001 |
NPI Number | 1770355398 |
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Provider Enumeration Date | 10/26/2023 |
Last Update Date | 10/26/2023 |
Certification Date | 10/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770355398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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