Provider Demographics
NPI:1760656664
Name:JARMAN, BERNARD A (PHD)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:A
Last Name:JARMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E PUAINAKO ST
Mailing Address - Street 2:#585
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5288
Mailing Address - Country:US
Mailing Address - Phone:808-982-4220
Mailing Address - Fax:
Practice Address - Street 1:111 E PUAINAKO ST
Practice Address - Street 2:#585
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5288
Practice Address - Country:US
Practice Address - Phone:808-982-4220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI843103T00000X
HI39106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist