Individual
ILEA BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
53-3925 AKONI PULE HIGHWAY, KAPAAU, HI 96755
(808) 889-6236
(808) 889-0107
Mailing address
45-549 PLUMERIA ST, HONOKAA, HI 96727-6902
(808) 775-7204
(808) 775-9404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2763
OR
Other
Enumeration date
09/26/2013
Last updated
08/17/2018
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