NPI 1053436337
Mark Douglas Breithaupt, PHD
Practice location
- Address
- 2200 Main St STE 510, Wailuku, HI 96793-1624
- Phone
- (808) 205-8403
- Mailing address
- PO Box 2632, Wailuku, HI 96793-7632
Registered specialties (3)
Clinical Psychologist
Primary
Psychologist
Marriage & Family Therapist
Registry record
- NPI
- 1053436337
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Mar 2007
- Record last updated
- 19 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.