| Jeanie Li, Ph.d., Llc | |
|
1188 Bishop St Ste 3110 Honolulu HI 96813-3313 | |
| (808) 230-3035 | |
| Not Available |
| Full Name | Jeanie Li, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1188 Bishop St Ste 3110, Honolulu, Hawaii |
| Authorized Official Name and Position | Chun-i Li (PSYCHOLOGIST) |
| Authorized Official Contact | 8082303035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanie Li, Ph.d., Llc Po Box 1723 Kailua HI 96734-8723 Ph: () - | Jeanie Li, Ph.d., Llc 1188 Bishop St Ste 3110 Honolulu HI 96813-3313 Ph: (808) 230-3035 |
| NPI Number | 1700328879 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Medicare PECOS PAC ID | 3779866272 |
|---|---|
| Medicare Enrollment ID | O20170207002780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700328879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Chun-i Li |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831419555 PECOS PAC ID: 4688957186 Enrollment ID: I20170207002852 |
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