Provider Demographics
NPI:1467821702
Name:MUELLER, JONATHAN JEE WOON (PHD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:JEE WOON
Last Name:MUELLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 MAKALOA ST APT 1617
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3924
Mailing Address - Country:US
Mailing Address - Phone:415-580-5083
Mailing Address - Fax:
Practice Address - Street 1:900 FORT STREET MALL STE 200
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3720
Practice Address - Country:US
Practice Address - Phone:808-940-4287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1558103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical