| Organization Name: | JOHN C. DONKERVOET, PH.D., LLC |
| NPI Number: | 1205168549 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN CORNELIUS DONKERVOET (PSYCHOLOGIST) |
| Mailing Address: | 46-001 Kamehameha Hwy Suite 409 Kaneohe |
| State: | HI US |
| Postal Code: | 967443711 |
| Phone Number: | 8083715539 |
| Fax Number: | 8082474696 |
| NPI Enumeration Date: | 02/11/2010 |
| NPI Last Update Date: | 02/11/2010 |
| 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: | |