Provider Demographics
NPI:1023242724
Name:TRUDY NARIKIYO GUO, PH.D., LLC
Entity type:Organization
Organization Name:TRUDY NARIKIYO GUO, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SINGLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRUDY
Authorized Official - Middle Name:NARIKIYO
Authorized Official - Last Name:GUO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-591-2533
Mailing Address - Street 1:2101 NUUANU AVE APT 1801
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1768
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1050 QUEEN ST STE 100
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4130
Practice Address - Country:US
Practice Address - Phone:808-591-2533
Practice Address - Fax:808-599-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-469103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty