Provider Demographics
NPI:1730796236
Name:JULIE H NISHIHIRA PSYD LLC
Entity type:Organization
Organization Name:JULIE H NISHIHIRA PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:NISHIHIRA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-206-2671
Mailing Address - Street 1:35 N KUKUI ST APT 2711
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4161
Mailing Address - Country:US
Mailing Address - Phone:808-206-2671
Mailing Address - Fax:
Practice Address - Street 1:1164 BISHOP ST STE 929
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2882
Practice Address - Country:US
Practice Address - Phone:808-308-5226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-28
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty