Organization
GEROPSYCHOLOGY ASSOCIATES, LLC
Active
Other names
Hawaii Senior Connections
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROSS (AGENT, MEMBER, MEMBER)
(808) 236-2260
Entity
Organization
Contact information
Practice address
111 HEKILI ST, STE. A196, KAILUA, HI 96734-2800
(808) 236-2260
Mailing address
111 HEKILI ST, STE. A196, KAILUA, HI 96734-2800
(808) 236-2260
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0 022988-0
HMSA/HMSA 65C NUMBER
HI
05
—
50398901
—
HI
Enumeration date
06/12/2006
Last updated
07/21/2022
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