Jepson, Marielis

Jepson, Marielis is an sole proprietor health care provider with primary practice located at 1280 S Kihei Rd Suite 302 Azeka Makai Shopping Center, Kihei HI 96753-8240. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jepson, Marielis can be contacted via phone (808) 875-8737.

Contact Information

Primary practice address
1280 S Kihei Rd Suite 302 Azeka Makai Shopping Center Kihei HI 96753-8240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 608 Hawaii

Profile Details

NPI number 1396792966
LBN Legal business name Jepson, Marielis
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2006
Last updated Oct 4th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396792966 NPPES
Hawaii MEDICAID 539611

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