Provider Demographics
NPI:1043540412
Name:FAILLA, MARGARET (CCC-A)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:FAILLA
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:POWERS
Other - Last Name:FAILLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCC-A
Mailing Address - Street 1:40 AULIKE ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2758
Mailing Address - Country:US
Mailing Address - Phone:808-263-4111
Mailing Address - Fax:808-263-4114
Practice Address - Street 1:40 AULIKE ST
Practice Address - Street 2:SUITE 211
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2758
Practice Address - Country:US
Practice Address - Phone:808-263-4111
Practice Address - Fax:808-263-4114
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI25231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist