Provider Demographics
NPI:1952402828
Name:GUAY, PETER FRANCIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:FRANCIS
Last Name:GUAY
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 1:1255 KAELEKU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-3005
Mailing Address - Country:US
Mailing Address - Phone:808-778-4005
Mailing Address - Fax:
Practice Address - Street 1:3615 HARDING AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3735
Practice Address - Country:US
Practice Address - Phone:808-732-5633
Practice Address - Fax:808-732-5637
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY123103TC0700X
CAPSY19309103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI05320601Medicaid
HI0045123OtherUHA
HI0045123OtherUHA
0000TCBHDMedicare ID - Type Unspecified