Healthcare Provider Details

I. General information

NPI: 1659044667
Provider Name (Legal Business Name): ERIK JUL PSYD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2772 LANILOA RD
HONOLULU HI
96813-1064
US

IV. Provider business mailing address

2772 LANILOA RD
HONOLULU HI
96813-1064
US

V. Phone/Fax

Practice location:
  • Phone: 808-425-0106
  • Fax: 808-461-2003
Mailing address:
  • Phone: 808-425-0106
  • Fax: 808-461-2003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: ERIK JUL
Title or Position: OWNER
Credential: PSYD
Phone: 808-425-0106