| Conrad Bugarin Bernisto | |
|
94-141 Makoa St Waipahu HI 96797-4728 | |
| (808) 282-1907 | |
| Not Available |
| Full Name | Conrad Bugarin Bernisto |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 94-141 Makoa St, Waipahu, Hawaii |
| Authorized Official Name and Position | Conrad Bernisto (OWNER) |
| Authorized Official Contact | 8082821907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conrad Bugarin Bernisto 4348 Waialae Ave # 656 Honolulu HI 96816-5767 Ph: (808) 282-1907 | Conrad Bugarin Bernisto 94-141 Makoa St Waipahu HI 96797-4728 Ph: (808) 282-1907 |
| NPI Number | 1245585058 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245585058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-1291 (Hawaii) | Primary |
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