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General NPI Number Information
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NPI Number | 1659704047
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 1833 KALAKAUA AVE SUITE 800
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City | HONOLULU
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State | HI
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Zip | 96815-1512
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Country | US
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Telephone | 808-927-6765
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Fax | 808-951-9282
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Provider Business Mailing Address
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Address Line | 95-988 UKUWAI ST #603
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City | MILILANI
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State | HI
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Zip | 96789-6024
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Country | US
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Telephone | 808-295-2338
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Fax | 808-951-9282
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Authorized Official
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Title or Position | OWNER
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Name | DR. LYNN KIKUE GOYA
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Credential | PSY.D.
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Telephone | 808-295-2338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 916
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License Number State | HI
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