Individual
MR. MATTHEW D BRITTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
56 WAIANUENUE AVE STE 207, HILO, HI 96720-2474
(808) 934-7566
(808) 934-9442
Mailing address
PO BOX 1038, KURTISTOWN, HI 96760-1038
(808) 934-7566
(808) 934-9442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4948-C
NV
1041C0700X
Clinical Social Worker
Primary
LCSW-3048
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B0212197
HMSA BLUE CROSS BLUE SHIE
HI
05
—
24819201
—
HI
Enumeration date
11/09/2006
Last updated
07/09/2007
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