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JOSEPH D EUBANKS PHD

Clinical Neuropsychologist

Kailua Kona, Hawaii

Provider NPI: 1346284783

Provider Information:
 JOSEPH D EUBANKS PHD
Gender: M
Sole Proprietor


Practice Location:
75-5995 KUAKINI HWY 445  KAILUA KONA, HI 96740 US
Tel: 808-895-8975  Fax: 844-404-6016

Business Mailing Address:
75-307 MALULANI DR  KAILUA KONA, HI 96740 US
Tel: 808-895-8975  Fax: 210-692-7707

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX23533

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE RAILROAD680012400TX01
HMSA BCBS OF HI0000309443HI01
EIN742756750TX01
723933HI05
BCBS00D94BTX01
097947801TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS HI - Page 1



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