Organization
DEVON MASUDA, PSY D LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVON MASUDA PSY.D. (PSYCHOLOGIST/OWNER)
(808) 825-8275
Entity
Organization
Contact information
Practice address
820 HELE MAUNA ST, HILO, HI 96720-1752
(808) 825-8275
Mailing address
PO BOX 7685, HILO, HI 96720-8949
(808) 825-8275
(844) 807-9181
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E0265040
HMSA
HI
01
—
487755
WELLCARE
HI
05
—
590720
—
HI
01
—
943282172
TRICARE
HI
Enumeration date
12/01/2021
Last updated
12/01/2021
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