Organization
PEARLRIDGE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT M GUPTON PH.D. (OWNER)
(808) 484-1190
Entity
Organization
Contact information
Practice address
98-084 KAMEHAMEHA HWY, SUITE 306, AIEA, HI 96701-5160
(808) 484-1190
(808) 683-0643
Mailing address
98-084 KAMEHAMEHA HWY, SUITE 306, AIEA, HI 96701-5160
(808) 484-1190
(808) 683-0643
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
W40186597-01
HI
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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