Provider Demographics
NPI:1144267584
Name:SINGSON, MAILE TANAKA (MS,CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MAILE
Middle Name:TANAKA
Last Name:SINGSON
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 KAHAKO ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-5904
Mailing Address - Country:US
Mailing Address - Phone:808-497-3277
Mailing Address - Fax:808-261-6539
Practice Address - Street 1:745 FORT ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3816
Practice Address - Country:US
Practice Address - Phone:808-497-3277
Practice Address - Fax:808-261-6539
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI080235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist