Whalio Doctors

NPI 1053767004

Bracken Gott, PSYD

Practitioner Clinical Psychologist Kailua, HI

Practice location

Address
1530 Mokulua Dr, Kailua, HI 96734-3254
Phone
(773) 301-0348

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1305 (NM)

Registry record

NPI
1053767004
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 May 2016
Record last updated
9 May 2016

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.