DR. Mark A. Fridovich, PH.D.

NPI #1629139837 in Kailua, Hawaii

Provider Information

NPI Number: 1629139837
Entity Type: Individual
Name: DR. Mark A. Fridovich, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 14 AULIKE ST
Address 2: PH 2
City: Kailua
State: Hawaii
ZIP Code: 96734-2740
Phone: (808) 236-8237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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