| Shanahan Family & Ind Psych Services Inc | |
|
2347 Oahu Ave Honolulu HI 96822-1966 | |
| (808) 941-9307 | |
| Not Available |
| Full Name | Shanahan Family & Ind Psych Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2347 Oahu Ave, Honolulu, Hawaii |
| Authorized Official Name and Position | Roswitha Shanahan (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8089419307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanahan Family & Ind Psych Services Inc 2347 Oahu Ave Honolulu HI 96822-1966 Ph: (808) 941-9307 | Shanahan Family & Ind Psych Services Inc 2347 Oahu Ave Honolulu HI 96822-1966 Ph: (808) 941-9307 |
| NPI Number | 1205016730 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 12/05/2007 |
| Medicare PECOS PAC ID | 0446210603 |
|---|---|
| Medicare Enrollment ID | O20041013000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205016730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY707 (Hawaii) | Primary |
| Provider Name | Roswitha J Shanahan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548383433 PECOS PAC ID: 3971563032 Enrollment ID: I20041014000293 |
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