| Clinical Psychology Services, Llc | |
|
91-3575 Kauluakoko St 1108 Ewa Beach HI 96706-5856 | |
| (808) 294-0495 | |
| (808) 439-6869 |
| Full Name | Clinical Psychology Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 91-3575 Kauluakoko St, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Shawna Lynn Ledward (PSYCHOLOGIST / OWNER) |
| Authorized Official Contact | 8082940495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Psychology Services, Llc 94-229 Waipahu Depot St Ste 400 Waipahu HI 96797-3034 Ph: (808) 294-0495 | Clinical Psychology Services, Llc 91-3575 Kauluakoko St 1108 Ewa Beach HI 96706-5856 Ph: (808) 294-0495 |
| NPI Number | 1437624756 |
|---|---|
| Provider Enumeration Date | 10/13/2018 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 6507101649 |
|---|---|
| Medicare Enrollment ID | O20181218003624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437624756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shawna L Ledward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356380810 PECOS PAC ID: 4981609948 Enrollment ID: I20060925000625 |
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