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NPI 1437821345

NPI 1437821345 : MINDA HUANG PSYD, MSCP : PEARL HARBOR, HI

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General NPI Number Information
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    NPI Number           |    1437821345
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    Entity Type          |    Individual 
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    Provider Name        |    MINDA HUANG PSYD, MSCP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/29/2021
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    Last Update Date     |    09/28/2025
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Provider Practice Location Address
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    Address Line         |    480 CENTRAL AVE 
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    City                 |    PEARL HARBOR
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    State                |    HI
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    Zip                  |    96860-4908
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    Country              |    US
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    Telephone            |    --
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    480 CENTRAL AVE 
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    City                 |    JBPHH
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    State                |    HI
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    Zip                  |    96860-4908
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    Country              |    US
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    Telephone            |    808-496-3365
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TP0016X
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    Taxonomy Name        |    Prescribing (Medical) Psychologist
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    License Number       |    348743
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    1738
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    License Number State |    LA
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Taxonomy #3
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    06646
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    License Number State |    MD
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Taxonomy #4
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY2116
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    License Number State |    HI
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