Individual
DR. HEATHER LEE WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1787 WILI PA LOOP, SUITE 7, WAILUKU, HI 96793-1280
(808) 249-2121
Mailing address
1787 WILI PA LOOP, SUITE 7, WAILUKU, HI 96793-1280
(808) 249-2121
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
639
HI
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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