Individual
DR. GEORGE FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
3914 KILOHANA ST, KALAHEO, HI 96741-9704
(808) 431-4715
Mailing address
3914 KILOHANA ST, KALAHEO, HI 96741-9704
(808) 431-4715
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3712L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01541631
—
PA
01
—
PSY-826
LICENSE NUMBER
HI
Enumeration date
04/30/2007
Last updated
06/20/2011
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