MEDICARE: DR. AYDA AUKAHI AUSTIN SEABURY PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	979	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548468432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AYDA AUKAHI AUSTIN SEABURY PH.D.

Provider Business Mailing Address
First Line	:	1441 KAPIOLANI BLVD STE 1802
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-4408
Country	:	US
Telephone Number	:	808-525-6255
Fax Number	:	808-525-6256

Provider Business Practice Location Address
First Line	:	1441 KAPIOLANI BLVD STE 1802
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-4408
Country	:	US
Telephone Number	:	808-525-6255
Fax Number	:	808-525-6256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	10/09/2018

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