Jackie Guadagnoli, Ph.d.

NPI #1114190873 in Kapaa, Hawaii

Provider Information

NPI Number: 1114190873
Entity Type: Organization
Organization Name: Jackie Guadagnoli, Ph.d.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 2, 2008
Last Updated: Apr 2, 2008

Practice Location

Address: 4-1558 KUHIO HWY
City: Kapaa
State: Hawaii
ZIP Code: 96746-1856
Phone: (808) 392-1111

Authorized Official

Name: DR. JACKIE GUADAGNOLI, PH.D.
Title: PSYCHOLOGIST
Phone: (808) 392-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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