Individual
DR. THOMAS STENNIS BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
103TC0700X
Clinical Psychologist
Primary
PSY 888
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000252676
HMSA PROVIDER NUMBER
HI
05
—
57172001
—
HI
Enumeration date
11/13/2006
Last updated
02/17/2011
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