Individual
DR. MICHAEL RICHARD BRESSEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
98-1247 KAAHUMANU ST, SUITE 223, AIEA, HI 96701-5310
(808) 487-5433
(808) 487-5444
Mailing address
98-1247 KAAHUMANU ST, SUITE 223, AIEA, HI 96701-5310
(808) 487-5433
(808) 487-5444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY369
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02205402
—
HI
01
—
24406
BLUE CROSS
—
01
—
A006
CHAMPUS TRICARE
—
Enumeration date
07/28/2006
Last updated
07/08/2007
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