DR. Cp Kelly Bass, PHD

NPI #1457423352 in Wailuku, Hawaii

Provider Information

NPI Number
1457423352
Entity Type
Individual
Name
DR. Cp Kelly Bass, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Nov 15, 2006
Last Updated
Dec 5, 2012

Practice Location

Address
1129 E MAIN ST
Address 2
305
State
Hawaii
ZIP Code
96793-2053
Phone
(808) 242-7011

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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