Provider Demographics
NPI:1215398326
Name:MURRAY, NINO (PHD)
Entity Type:Individual
Prefix:DR
First Name:NINO
Middle Name:
Last Name:MURRAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:NINO
Other - Middle Name:LEE
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:101 AUPUNI ST STE 313
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4262
Mailing Address - Country:US
Mailing Address - Phone:808-895-9760
Mailing Address - Fax:
Practice Address - Street 1:101 AUPUNI ST STE 313
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4262
Practice Address - Country:US
Practice Address - Phone:808-895-9760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1586103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical