Individual
LAURA KAAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-1255
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2069
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2069
DOD
AL
Enumeration date
06/08/2015
Last updated
07/19/2019
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