Jackie Guadagnoli, Ph.D. in Kapaa - Clinical
Jackie Guadagnoli, Ph.D. - NPI 1114190873
Jackie Guadagnoli, Ph.D. is a Clinical in Kapaa, Hawaii. Jackie Guadagnoli, Ph.D. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jackie Guadagnoli, Ph.D. is 1114190873. The last update date is 2008-04-02.
Jackie Guadagnoli, Ph.D.'s current location address is 4-1558 Kuhio Hwy, Kapaa, Hawaii. You can contact this provider via phone number 8083921111 and fax number 8082458762. The mailing address for Jackie Guadagnoli, Ph.D. is 4-1558 Kuhio Hwy, Kapaa, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackie Guadagnoli, Ph.D. |
|---|---|
| Address | 4-1558 Kuhio Hwy, Kapaa, Hawaii |
| Phone Number | 8083921111 |
| Fax Number | 8082458762 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Guadagnoli Jackie |
| Credentials | PH.D. |
| Telephone Number | 8083921111 |
NPI Number Detail
| NPI Number | 1114190873 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2008-04-02 |
Provider Mailing Address Detail
| Address | 4-1558 Kuhio Hwy |
|---|---|
| City | Kapaa |
| State | Hawaii (HI) |
| Post Code | 967461856 |
| Phone Number | 8083921111 |
| Fax Number | 8082458762 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY-817 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55079017 | HI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jackie Guadagnoli, Ph.D. by the Centers for Medicare & Medicaid Services?
The Jackie Guadagnoli, Ph.D. has been assigned the NPI (National Provider Identifier) 1114190873. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jackie Guadagnoli, Ph.D.?
The Jackie Guadagnoli, Ph.D. is situated at 4-1558 Kuhio Hwy, in the city of Kapaa, state of HI, with the zip code 967461856.
What is Jackie Guadagnoli, Ph.D.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jackie Guadagnoli, Ph.D.'s specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114190873 to Jackie Guadagnoli, Ph.D.?
The Centers for Medicare & Medicaid Services assigned the 1114190873 to Jackie Guadagnoli, Ph.D. on 2008-04-02.
When was the Jackie Guadagnoli, Ph.D.'s information last updated?
The Jackie Guadagnoli, Ph.D.'s information was last updated on 2008-04-02.
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