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Individual

BETHANNE KAPANSKY WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2538 TITCOMB ST, KILAUEA, HI 96754-5226
(808) 346-1674
Mailing address
PO BOX 1216, KILAUEA, HI 96754-1216
(808) 346-1674

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1724
HI
103TC0700X
Clinical Psychologist
Primary
556
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1724
PSYCHOLOGIST LICENSE #
HI
01
556
PSYCHOLOGIST LICENSE #
AK
Enumeration date
10/23/2006
Last updated
04/25/2022
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