# PACIFIC PSYCHOLOGY SERVICES CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376991471
- **Authorized official:** DR. COLIN BEVERIDGE DENNEY PH.D. (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (808) 294-3595

## Contact information

- **Practice address:** 1441 KAPIOLANI BLVD, SUITE 621, HONOLULU, HI 96814-4402
- **Practice address phone:** (808) 294-3595
- **Practice address fax:** (866) 270-8635
- **Mailing address:** 1441 KAPIOLANI BLVD, SUITE 621, HONOLULU, HI 96814-4402
- **Mailing address phone:** (808) 294-3595
- **Mailing address fax:** (866) 270-8635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | PSY 697 | HI | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | PSY 697 | HI | Yes |

## Other

- **Enumeration date:** 05/31/2016
- **Last updated:** 12/20/2016