JENNY EBESUTANI PSYD LLC NPI 1093469553

NPI Information

NPI: 1093469553
Provider Name: JENNY EBESUTANI PSYD LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1100 WARD AVE STE 665
HONOLULU, HI
ZIP 96814
Phone: (808) 304-1565
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JENNY EBESUTANI PSYD LLC is a mental health (including community mental health center) clinic center in Honolulu, HI. JENNY EBESUTANI PSYD LLC NPI is 1093469553. The provider is registered as an organization entity type.

The provider's business location address is:

1100 WARD AVE STE 665
HONOLULU, HI
ZIP 96814-619
Phone: (808) 304-1565

The provider's authorized official is Jenny Ebesutani .
The authorized official title is Psychologist, Owner and has the following contact phone number (808) 304-1565.

The enumeration date for this NPI number is 2/3/2022 and was last updated on 2/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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