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Individual

DR. JILL C PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
6600 KALANIANAOLE HWY., SUITE 225, HONOLULU, HI 96825
(808) 721-8048
Mailing address
1759 IWI WAY, HONOLULU, HI 96816-3826
(808) 721-8048

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
946
HI

Other

Enumeration date
11/09/2006
Last updated
11/21/2012
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