Alexander Jay Bivens, PH.D.

Individual provider Active NPI Clinical Psychologist · Lihue, HI

NPI 1114137247 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114137247
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
743 (HI)
Practice address
2905 Mokoi St
Lihue, HI 96766-1533
Phone
(808) 332-7190
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
743HIMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 743 HI Yes

Addresses

Primary practice location

2905 Mokoi St
Lihue, HI 96766-1533

Mailing address

PO Box 1080
Kalaheo, HI 96741-1080
Phone (808) 332-7190

Other providers in Lihue, HI

All providers in Lihue, HI · Clinical Psychologist in Hawaii

Sources for this page

Verify at the official NPI Registry.