Individual
JOHN CORNELIUS DONKERVOET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
919 LEHUA AVE, PEARL CITY, HI 96782-3328
(808) 236-2260
Mailing address
1553 SAINT LOUIS DR, HONOLULU, HI 96816-1920
(808) 371-5539
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 713
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050240032
HMSA
HI
05
—
532350
—
HI
01
—
53235000
ALOHACARE
HI
01
—
990298651-96706-C039
TRICARE
HI
Enumeration date
07/09/2006
Last updated
07/08/2007
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