| Jackie Guadagnoli, Ph.d. | |
|
4-1558 Kuhio Hwy Kapaa HI 96746-1856 | |
| (808) 392-1111 | |
| (808) 245-8762 |
| Full Name | Jackie Guadagnoli, Ph.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4-1558 Kuhio Hwy, Kapaa, Hawaii |
| Authorized Official Name and Position | Jackie Guadagnoli (PSYCHOLOGIST) |
| Authorized Official Contact | 8083921111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Guadagnoli, Ph.d. 4-1558 Kuhio Hwy Kapaa HI 96746-1856 Ph: (808) 392-1111 | Jackie Guadagnoli, Ph.d. 4-1558 Kuhio Hwy Kapaa HI 96746-1856 Ph: (808) 392-1111 |
| NPI Number | 1114190873 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114190873 | NPI | - | NPPES |
| 55079017 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-817 (Hawaii) | Primary |
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