Individual
DR. HAWKEN SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
76-5914 MAMALAHOA HWY, HOLUALOA, HI 96725
(808) 640-0645
Mailing address
PO BOX 1546, KEALAKEKUA, HI 96750-1546
(808) 640-0645
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-838
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57177001
—
HI
Enumeration date
12/19/2006
Last updated
08/24/2011
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