Organization
HONOLULU PSYCHIATRIC SERCIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND DAVIDSON MD (OWNER)
(808) 388-4969
Entity
Organization
Contact information
Practice address
1188 BISHOP ST STE 1102, HONOLULU, HI 96813-3304
(808) 388-4969
Mailing address
1188 BISHOP ST STE 1102, HONOLULU, HI 96813-3304
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15998
HI
2084P0805X
Geriatric Psychiatry Physician
15998
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00D0302036
—
HI
05
—
12101
—
HI
05
—
686868
—
HI
05
—
691232
—
HI
05
—
724246
—
HI
05
—
77004
—
HI
Enumeration date
10/16/2013
Last updated
10/16/2013
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