Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PACIFIC ENTERPRISE GROUP, LLC
Active OrganizationPACIFIC ENTERPRISE GROUP, LLC is a Clinical Neuropsychologist organization located in AIEA, Hawaii. NPI 1770897324 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · AIEA, HI
Registration Details
- NPI Number
- 1770897324
- Provider Type
- Organization
- NPI Issued
- Aug 5, 2010 (16.059936699839 yrs)
- Last Updated
- Aug 5, 2010
- Licenses
-
PSY1077 (HI)PSY1077 (HI)
Practice Information
- Address
-
98-501 KOAUKA LOOPA-702AIEA, HI, 967014550Browse HI providers · Browse ZIP 96701
- Phone
- 8089279038
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.