Doctor Name: | GRETA LYNNE KUGLER |
NPI Number: | 1184999286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D., PSY.M. |
License Number: | 1286 |
Business Practice Address: | 4-1101 Kuhio Hwy #1271 Kapaa, HI - 967464600 |
Business Phone Number: | 8084824998 |
Business Fax Number: | |
Mailing Address: | 3094 Elua St, LIHUE |
State: | HI |
Postal Code: | 967661209 |
Phone Number: | 8082455959 |
Fax Number: | 8082455961 |
NPI Enumeration Date: | 03/21/2012 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |