Individual
PRATIBHA SHULAMIT EASTWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
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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