Wiesenbauer, Petra Ursula

Wiesenbauer, Petra Ursula is an individual health care provider with primary practice located at 15-2903 Pahoa Village Road , Pahoa HI 96778. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wiesenbauer, Petra Ursula can be contacted via phone (808) 333-4862.

Contact Information

Primary practice address
15-2903 Pahoa Village Road Pahoa HI 96778
Phone: (808) 333-4862
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 748 Hawaii

Profile Details

NPI number 1437810512
LBN Legal business name Wiesenbauer, Petra Ursula
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2021
Last updated Dec 31st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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