| Organization Name: | INTEGRATED PSYCHOLOGICAL SERVICES, HAWAII |
| NPI Number: | 1144562257 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF GEDNEY (OWNER/MANAGER) |
| Mailing Address: | 46-3694 Puaono Rd Honokaa |
| State: | HI US |
| Postal Code: | 967277057 |
| Phone Number: | 8087475435 |
| Fax Number: | 8663844779 |
| NPI Enumeration Date: | 03/27/2013 |
| NPI Last Update Date: | 03/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | PSY1374 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |