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Individual

DR. KATHLEEN MARIANNE MCNAMARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1129 LOWER MAIN ST, SUITE 305, WAILUKU, HI 96793-2053
(808) 876-0098
(808) 878-8908
Mailing address
PO BOX 330489, KAHULUI, HI 96733-0489
(808) 876-0098
(808) 878-8908

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY 408
HI
103TC0700X
Clinical Psychologist
Primary
PSY408
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061555 01
HI
01
08180
HMSA PROVIDER ROOT NUMBER
HI
Enumeration date
10/02/2005
Last updated
12/04/2007
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