Individual
DR. JEFFREY H NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1585 KAPIOLANI BLVD. #1234, HONOLULU, HI 96814
(808) 944-1133
Mailing address
P.O. BOX 22877, HONOLULU, HI 96823
(808) 944-1133
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY640
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502402-01
—
HI
Enumeration date
11/27/2006
Last updated
07/08/2007
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