Organization
JILL C. PETERSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL C PETERSON PSY.D. (OWNER)
(808) 721-8048
Entity
Organization
Contact information
Practice address
6600 KALANIANAOLE HWY, SUITE 225, HONOLULU, HI 96825-1273
(808) 721-8048
(808) 394-2826
Mailing address
1759 IWI WAY, HONOLULU, HI 96816-3826
(808) 721-8048
(808) 394-2826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
946
HI
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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