| Doctor Name: | DR. CLAREN KUULEI KEALOHA-BEAUDET |
| NPI Number: | 1003080771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD. |
| License Number: | 1040 |
| Business Practice Address: | 65-1235 A Opelo Rd. #4 Kamuela, HI - 967438440 |
| Business Phone Number: | 8088851040 |
| Business Fax Number: | |
| Mailing Address: | Po Box 818, #4 KAMUELA |
| State: | HI |
| Postal Code: | 967430818 |
| Phone Number: | 8088851040 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2008 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1040 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |