MARK D BREITHAUPT PHD INC
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1902115082- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2200 MAIN ST, WAILUKU, HI, 967931681
- Phone
- (808) 205-8403
Specialties & Taxonomies
Psychologist, Clinical
Primary License: HI #PSY499