Individual
JENNIFER DEPRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
377 KEAHOLE ST # 211-D, HONOLULU, HI 96825-3405
(808) 783-2468
Mailing address
92-1001 ALIINUI DR, #28C, KAPOLEI, HI 96707-2250
(808) 783-2468
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1307
HI
103TC0700X
Clinical Psychologist
PSY22501
CA
Other
Enumeration date
08/19/2006
Last updated
08/13/2015
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