Individual
THERESIA WALTRAUD PRESBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
101 AUPUNI ST, SUITE 240, HILO, HI 96720-4262
(808) 935-3395
(808) 969-6843
Mailing address
101 AUPUNI ST, SUITE 240, HILO, HI 96720-4262
(808) 935-3395
(808) 969-6843
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY317
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04225001
—
HI
Enumeration date
10/06/2006
Last updated
07/08/2007
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