Healthcare Provider Details

I. General information

NPI: 1386899342
Provider Name (Legal Business Name): GINA D BIEN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

REMOTE
REMOTE HI
96814
US

IV. Provider business mailing address

921 N.E. 13TH ST OKLAHOMA CITY VA HEALTH CARE SYSTEM
OKLAHOMA CITY OK
73104
US

V. Phone/Fax

Practice location:
  • Phone: 808-800-5331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY-1083
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: