Individual
DR. DOMINIQUE BALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
98-1268 KAAHUMANU ST, STE 202, PEARL CITY, HI 96782-3257
(808) 955-4775
(808) 955-3130
Mailing address
98-1268 KAAHUMANU ST, STE 202, PEARL CITY, HI 96782-3257
(808) 955-4775
(808) 955-3130
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1575
HI
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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