Individual
MR. DEWAYNE BETTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
(808) 681-3500
Mailing address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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