Organization
BEARDEN PSYCHOLOGICAL SERVICES LLC
Active
Organization
BEARDEN PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS STENNIS BEARDEN PH.D. (PRESIDENT)
(808) 935-2605
Entity
Organization
Contact information
Practice address
101 AUPUNI ST, SUITE 1014 A-2, HILO, HI 96720-4246
(808) 935-2605
(808) 935-2650
Mailing address
101 AUPUNI ST, SUITE 1014 A-2, HILO, HI 96720-4246
(808) 935-2605
(808) 935-2650
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PSY 888
HI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PSY 888
HI
Other
Enumeration date
09/06/2007
Last updated
12/12/2011
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