Provider Demographics
NPI:1275801599
Name:BLAIR, PATRICIA KARAFFA (MT-BC, CF-SLP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:KARAFFA
Last Name:BLAIR
Suffix:
Gender:F
Credentials:MT-BC, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 SPENCER ST APT 805
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3764
Mailing Address - Country:US
Mailing Address - Phone:808-681-2131
Mailing Address - Fax:
Practice Address - Street 1:1069 SPENCER ST APT 805
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-3764
Practice Address - Country:US
Practice Address - Phone:808-681-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIPENDINGOtherHAWAII STATE BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
HI09719OtherCERTIFICATION BOARD FOR MUSIC THERAPISTS