Provider Demographics
NPI:1164640348
Name:SHINTANI, JANICE S (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:S
Last Name:SHINTANI
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 1:94-201 MAHAPILI ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1805
Mailing Address - Country:US
Mailing Address - Phone:808-623-0115
Mailing Address - Fax:
Practice Address - Street 1:94-144 FARRINGTON HWY
Practice Address - Street 2:#115
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1901
Practice Address - Country:US
Practice Address - Phone:808-678-3814
Practice Address - Fax:808-678-3820
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-15235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist