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Contact Information

MARK D BREITHAUPT, PhD
2200 MAIN ST STE 510
WAILUKU, HI96793-1624
 Phone: 808-205-8403
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK D BREITHAUPT · (Male)

NPI Number 1053436337
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/19/2007
Last updated 05/19/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • HI License # PSY 499
  • HI Medicaid 03451701
  • HI Other A 3812-3 HMSA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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