| Pratibha S. Eastwood, Phd, Inc. | |
|
1016 Kapahulu Avenue, #265 Honolulu HI 96816 | |
| (808) 214-9253 | |
| (808) 988-7645 |
| Full Name | Pratibha S. Eastwood, Phd, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1016 Kapahulu Avenue, #265, Honolulu, Hawaii |
| Authorized Official Name and Position | Pratibha Shulamit Eastwood (PHD) |
| Authorized Official Contact | 8082149253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pratibha S. Eastwood, Phd, Inc. P.o. Box 282 Kaneohe HI 96744 Ph: (808) 214-9253 | Pratibha S. Eastwood, Phd, Inc. 1016 Kapahulu Avenue, #265 Honolulu HI 96816 Ph: (808) 214-9253 |
| NPI Number | 1336335918 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 5597853309 |
|---|---|
| Medicare Enrollment ID | O20071113000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336335918 | NPI | - | NPPES |
| H113829 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Pratibha S Eastwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770636581 PECOS PAC ID: 3072536838 Enrollment ID: I20060106000448 |
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