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NPI Code Detail

MEDICARE: TRUDY NARIKIYO GUO, PH.D., LLC

MEDICARE: TRUDY NARIKIYO GUO, PH.D., LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY-469HI

General Provider Information

NPI Number : 1023242724
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUDY NARIKIYO GUO, PH.D., LLC
Provider Business Mailing Address
First Line : 2101 NUUANU AVE APT 1801
Second Line :
City : HONOLULU
State : HI
Zip : 96817-1768
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1050 QUEEN ST STE 100
Second Line :
City : HONOLULU
State : HI
Zip : 96814-4130
Country : US
Telephone Number : 808-591-2533
Fax Number : 808-599-2544
Authorized Official
Title or Position : SINGLE OWNER
Name : DR. TRUDY NARIKIYO GUO
Credential : PH.D.
Telephone Number : 808-591-2533
Provider Enumeration Date : 05/08/2009
Last Update Date : 03/11/2022

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Directions to “TRUDY NARIKIYO GUO, PH.D., LLC ” Practice Location

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