Organization
HAWAII PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. JACKSON PH.D. (PRESIDENT)
(808) 294-3493
Entity
Organization
Contact information
Practice address
1001 KAMOKILA BLVD, SUITE 262, KAPOLEI, HI 96707-2014
(808) 484-1122
(808) 484-1129
Mailing address
1001 KAMOKILA BLVD, SUITE 262, KAPOLEI, HI 96707-2014
(808) 484-1122
(808) 484-1129
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY809
HI
2084P0800X
Psychiatry Physician
DOS1489
HI
Other
Enumeration date
01/07/2008
Last updated
10/08/2015
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