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Individual

DR. BEA AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
101 AUPUNI STREET, #250, HILO, HI 96720
(808) 961-9287
Mailing address
101 AUPUNI STREET, #250, HILO, HI 96720
(808) 961-9287

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-627
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000214510
HMSA
HI
05
24810401
HI
Enumeration date
10/04/2006
Last updated
07/08/2007
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