Individual
DR. JENNY REBECCA EBESUTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1100 WARD AVENUE, SUITE 665, HONOLULU, HI 96814
(808) 304-1565
(808) 599-7900
Mailing address
PO BOX 235665, HONOLULU, HI 96823
(808) 304-1565
(808) 599-7900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 1078
HI
Other
Enumeration date
10/17/2008
Last updated
07/17/2020
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