Individual
DR. SUSAN FRIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2200 MAIN ST STE 510, WAILUKU, HI 96793-1624
(808) 243-0888
(808) 875-8288
Mailing address
2200 MAIN ST STE 510, WAILUKU, HI 96793-1624
(808) 243-0888
(808) 875-8288
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
497
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049851-01
—
HI
Enumeration date
09/15/2006
Last updated
07/09/2007
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