Bearden Psychological Services LLC
Clinic/Center, Adult Mental Health in Hilo, HI. Organization (NPI-2).
NPI number1649464355
StatusActive
Last updated in NPPESDec 12, 2011
Details
- NPI
- 1649464355
- Entity type
- Organization (NPI-2)
- Legal business name
- Bearden Psychological Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2007
- Last updated
- Dec 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | PSY 888 | HI | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | PSY 888 | HI |
Practice location
101 Aupuni StSuite 1014 A-2
Hilo, HI 96720-4246
Phone 808-935-2605 · Fax 808-935-2650
Mailing address
101 Aupuni StSuite 1014 A-2
Hilo, HI 96720-4246
Phone 808-935-2605 · Fax 808-935-2650
Authorized official
Thomas Stennis Bearden
President
8089352605
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