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Individual

PRATIBHA SHULAMIT EASTWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1016 KAPAHULU AVE STE 265, HONOLULU, HI 96816-1318
(808) 214-9253
Mailing address
PO BOX 2022, WHITE CITY, OR 97503-0022
(541) 234-4781

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY390
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00B0056073
HMSA
HI
01
99028622496817A001
TRICARE
HI
Enumeration date
01/18/2007
Last updated
04/21/2025
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