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Jackie Guadagnoli, Ph.D.

Psychologist, Clinical in Kapaa, HI. Organization (NPI-2).

NPI number1114190873
StatusActive
Last updated in NPPESApr 2, 2008

Details

NPI
1114190873
Entity type
Organization (NPI-2)
Legal business name
Jackie Guadagnoli, Ph.D.
Organization subpart
No
Enumeration date
Apr 2, 2008
Last updated
Apr 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY-817HIYes

Practice location

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856

Phone 808-392-1111 · Fax 808-245-8762

Mailing address

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856

Phone 808-392-1111 · Fax 808-245-8762

Authorized official

Jackie Guadagnoli
Psychologist
8083921111

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