Organization
PACIFIC NEUROPSYCHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAILA SPINA (NEUROPSYCHOLOGIST)
(808) 599-7676
Entity
Organization
Contact information
Practice address
438 HOBRON LN STE 409, HONOLULU, HI 96815-1229
(808) 599-7676
(808) 599-7900
Mailing address
PO BOX 3805, HONOLULU, HI 96812-3805
(808) 599-7676
(808) 599-7900
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1157
HI
103T00000X
Psychologist
1157
HI
103TC0700X
Clinical Psychologist
1157
HI
103TR0400X
Rehabilitation Psychologist
1157
HI
Other
Enumeration date
08/19/2011
Last updated
04/05/2014
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