Individual
DR. LAUREN ELAINE AMPOLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
415 DAIRY RD STE E-323, KAHULUI, HI 96732-2348
(808) 518-1619
Mailing address
415 DAIRY RD STE E-323, KAHULUI, HI 96732-2348
(808) 518-1619
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY-1555
HI
103TC0700X
Clinical Psychologist
Primary
PSY-1555
HI
103TH0004X
Health Psychologist
PSY-1555
HI
103TP2701X
Group Psychotherapy Psychologist
PSY-1555
HI
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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