| Jill C. Peterson Llc | |
|
6600 Kalanianaole Hwy Suite 225 Honolulu HI 96825-1273 | |
| (808) 721-8048 | |
| (808) 394-2826 |
| Full Name | Jill C. Peterson Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6600 Kalanianaole Hwy, Honolulu, Hawaii |
| Authorized Official Name and Position | Jill C Peterson (OWNER) |
| Authorized Official Contact | 8087218048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill C. Peterson Llc 1759 Iwi Way Honolulu HI 96816-3826 Ph: (808) 721-8048 | Jill C. Peterson Llc 6600 Kalanianaole Hwy Suite 225 Honolulu HI 96825-1273 Ph: (808) 721-8048 |
| NPI Number | 1427392950 |
|---|---|
| Provider Enumeration Date | 11/21/2012 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427392950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 946 (Hawaii) | Primary |
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