Individual
DR. SIMONE I. MACIEJEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1110 UNIVERSITY AVE, SUITE 306, HONOLULU, HI 96826-1540
(808) 636-4789
Mailing address
1110 UNIVERSITY AVE, SUITE 306, HONOLULU, HI 96826-1540
(808) 636-4789
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-846
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000248690
HMSA BILLING NUMBER
HI
05
—
55731601
—
HI
Enumeration date
11/06/2006
Last updated
07/25/2008
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