Jadu Malcolm Jagel, PsyD
Psychologist, Clinical in Kaneohe, HI. Individual provider (NPI-1).
NPI number1003979477
StatusActive
Last updated in NPPESJun 16, 2023
Details
- NPI
- 1003979477
- Entity type
- Individual (NPI-1)
- Name
- Jadu Malcolm Jagel
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2006
- Certification date
- Jun 16, 2023
- Last updated
- Jun 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY-2088-0 | HI | Yes |
| 103TF0000X | Psychologist, Family | – | – |
Practice location
47-506 Hio PlKaneohe, HI 96744-4840
Phone 415-846-2511
Mailing address
47-506 Hio PlKaneohe, HI 96744-4840
Phone 415-846-2511
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