Individual
DR. ALEXANDER JAY BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2905 MOKOI ST, LIHUE, HI 96766-1533
(808) 332-7190
Mailing address
PO BOX 1080, KALAHEO, HI 96741-1080
(808) 332-7190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
743
HI
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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