| Doctor Name: | JOHN CORNELIUS DONKERVOET |
| NPI Number: | 1134152580 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY 713 |
| Business Practice Address: | 919 Lehua Ave Pearl City, HI - 967823328 |
| Business Phone Number: | 8082362260 |
| Business Fax Number: | |
| Mailing Address: | 1553 Saint Louis Dr, HONOLULU |
| State: | HI |
| Postal Code: | 968161920 |
| Phone Number: | 8083715539 |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 713 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |