DR. KATHLEEN MARIANNE MCNAMARA PH.D.
Clinical Neuropsychologist
Wailuku, Hawaii
Provider NPI: 1790772093
Provider Information:DR. KATHLEEN MARIANNE MCNAMARA PH.D.
Gender: F
Sole Proprietor
Practice Location:
1129 LOWER MAIN ST SUITE 305 WAILUKU, HI 96793 US
Tel: 808-876-0098 Fax: 808-878-8908
Business Mailing Address:
PO BOX 330489 KAHULUI, HI 96733 US
Tel: 808-876-0098 Fax: 808-878-8908
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | HI | PSY 408 |
Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | HI | PSY408 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
HMSA PROVIDER ROOT NUMBER | 08180 | HI | 01 |
061555 01 | HI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin