NPI 1194964353

Psychological Service Center, LLC

Organisation Clinical Psychologist Makawao, HI

Practice location

Address: 1135 Makawao Ave, Makawao, HI 96768-7403
Phone: (808) 280-9457
Fax: (808) 572-0311
Mailing address: 126 Peni Pl, Kula, HI 96790-8772

Authorised official

Name: Daniel J Lane
Title: Chief Psychologist
Phone: (808) 280-9457

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY (HI)

Other Psychologist providers in Hawaii →

Registry record

NPI: 1194964353
Entity type: Organization
NPI issued: 11 Feb 2009
Record last updated: 11 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.