| Ka Imi Pono, Llc | |
|
1029 Kapahulu Ave Ste 405 Honolulu HI 96816-1332 | |
| (808) 387-5307 | |
| (808) 218-7884 |
| Full Name | Ka Imi Pono, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1029 Kapahulu Ave Ste 405, Honolulu, Hawaii |
| Authorized Official Name and Position | Gail Lynn Tice (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8083875307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ka Imi Pono, Llc Po Box 161191 Honolulu HI 96816-0925 Ph: (808) 387-5307 | Ka Imi Pono, Llc 1029 Kapahulu Ave Ste 405 Honolulu HI 96816-1332 Ph: (808) 387-5307 |
| NPI Number | 1083891469 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Medicare PECOS PAC ID | 3870500853 |
|---|---|
| Medicare Enrollment ID | O20060316000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083891469 | NPI | - | NPPES |
| 1225133481 | Other | HI | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 899 (Hawaii) | Primary |
| Provider Name | Gail L Tice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225133481 PECOS PAC ID: 7416964499 Enrollment ID: I20060317000055 |
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