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Organization

RICHARD M SWORD PHD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN M FERNANDEZ (OFFICE MANAGER)
(808) 573-0800
Entity
Organization

Contact information

Practice address
30 AHUWALE PL, MAKAWAO, HI 96768-8860
(808) 573-0800
(808) 573-0802
Mailing address
30 AHUWALE PL, MAKAWAO, HI 96768-8860
(808) 573-0800
(808) 573-0802

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 262
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01163701/ 584880
HI
01
220800
HMA
HI
01
990232395
HMAA
HI
01
B 1217
HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)
HI
01
R 17876
UPIN
HI
Enumeration date
08/20/2013
Last updated
08/20/2013
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