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Individual

DR. DAVID ROBERT ROSCOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
45-1144 KAMEHAMEHA HWY, SUITE # 402, KANEOHE, HI 96744-3244
(808) 234-1119
(808) 234-2373
Mailing address
45-1144 KAMEHAMEHA HWY, SUITE # 402, KANEOHE, HI 96744-3244
(808) 234-1119
(808) 234-2373

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
414
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05992701
HI
Enumeration date
09/17/2006
Last updated
07/08/2007
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