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Individual

DR. CONRAD B BERNISTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
94-141 MAKOA ST, WAIPAHU, HI 96797-4728
(808) 282-1907
Mailing address
94-141 MAKOA ST, WAIPAHU, HI 96797-4728
(808) 282-1907

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1291
HI

Other

Enumeration date
07/24/2012
Last updated
07/24/2012
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