MARK D BREITHAUPT CP

Dr MARK D BREITHAUPT CP is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1999.

Contact

55 N CHURCH ST
SUITE 7
WAILUKU
HI
967931684

Tel:

MARK D BREITHAUPT CP Information

Npi 1053436337
Pac Id 2264455120
Professional Enrollment Id I20060106000439
Last Name BREITHAUPT
First Name MARK
Middle Name D
Suffix
Gender M
Credential CP
Medical School Name OTHER
Graduation Year 1999
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
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Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 55 N CHURCH ST
Line 2 Street Address SUITE 7
Marker Of Address Line 2 Suppression
City WAILUKU
State HI
Zip Code 967931684
Phone Number
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Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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