Organization
CONRAD BUGARIN BERNISTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD BERNISTO PSYD (OWNER)
(808) 282-1907
Entity
Organization
Contact information
Practice address
94-141 MAKOA ST, WAIPAHU, HI 96797-4728
(808) 282-1907
Mailing address
4348 WAIALAE AVE # 656, HONOLULU, HI 96816-5767
(808) 282-1907
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1291
HI
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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