Provider Demographics
NPI:1619171899
Name:ALOHA PSYCHOLOGICAL SERVICES, INC
Entity Type:Organization
Organization Name:ALOHA PSYCHOLOGICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:T
Authorized Official - Last Name:TWENTYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-591-2345
Mailing Address - Street 1:1255 NUUANU AVE
Mailing Address - Street 2:2201
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4017
Mailing Address - Country:US
Mailing Address - Phone:808-591-2345
Mailing Address - Fax:
Practice Address - Street 1:100 N BERETANIA ST
Practice Address - Street 2:SUITE 208
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4712
Practice Address - Country:US
Practice Address - Phone:808-591-2345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY 324170100000X
HIACU 799171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH55165Medicare PIN