Provider Demographics
NPI:1144404617
Name:LUM, DAVID B (CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:B
Last Name:LUM
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 LANIHULI DR
Mailing Address - Street 2:APT. E.
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2186
Mailing Address - Country:US
Mailing Address - Phone:808-230-7037
Mailing Address - Fax:
Practice Address - Street 1:2011 LANIHULI DR
Practice Address - Street 2:APT. E.
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2186
Practice Address - Country:US
Practice Address - Phone:808-230-7037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-601235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist