Dr Daniel Joseph Lane, PHD | |
1135 Makawao Ave, Suite #204, Makawao, HI 96768-7403 | |
(808) 280-9457 | |
Not Available |
Full Name | Dr Daniel Joseph Lane |
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Gender | Male |
Speciality | Psychologist |
Location | 1135 Makawao Ave, Makawao, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457445934 | NPI | - | NPPES |
0000258475 | Other | HI | HMSA |
57950001 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY - 933 (Hawaii) | Primary |
Entity Name | Psychological Service Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194964353 PECOS PAC ID: 8527078864 Enrollment ID: O20060501000520 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Joseph Lane, PHD 126 Peni Pl, Kula, HI 96790-8772 Ph: (808) 878-3348 | Dr Daniel Joseph Lane, PHD 1135 Makawao Ave, Suite #204, Makawao, HI 96768-7403 Ph: (808) 280-9457 |
Ms. Sarah Monique Williams, PSY D Psychologist Medicare: Medicare Enrolled Practice Location: 1135 Makawao Ave Ste 102, Makawao, HI 96768 Phone: 773-919-6009 | |
Dr. Edward James Wilfong, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 331a Pukalani St, Makawao, HI 96768 Phone: 808-666-9766 | |
Dr. T Nalani Archibeque, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1043 Makawao Ave, 202b, Makawao, HI 96768 Phone: 808-573-6666 Fax: 808-876-0077 | |
Dr. Henry L Janpol, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 81 Makawao Ave, Suite 201-c, Makawao, HI 96768 Phone: 808-250-4373 | |
Dr. Bruce Leon Glen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1940 Olinda Rd, Makawao, HI 96768 Phone: 808-572-6556 Fax: 808-573-1189 | |
Dr. Karl Flint Jacobs, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1135 Makawao Ave, Suite 226, Makawao, HI 96768 Phone: 808-572-0631 |