Individual
DR. BRACKEN GOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1530 MOKULUA DR, KAILUA, HI 96734-3254
(773) 301-0348
Mailing address
1530 MOKULUA DR, KAILUA, HI 96734-3254
(773) 301-0348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1305
NM
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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