Provider Demographics
NPI:1043462898
Name:CHOW, LEE-ANN M (SLP)
Entity Type:Individual
Prefix:MS
First Name:LEE-ANN
Middle Name:M
Last Name:CHOW
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 OHINA PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-3035
Mailing Address - Country:US
Mailing Address - Phone:808-781-5989
Mailing Address - Fax:
Practice Address - Street 1:1404 OHINA PL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-3035
Practice Address - Country:US
Practice Address - Phone:808-781-5989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2011-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-161235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN