Provider Demographics
NPI:1356673727
Name:SPEECH PATHOLOGY OF HAWAII LLC
Entity Type:Organization
Organization Name:SPEECH PATHOLOGY OF HAWAII LLC
Other - Org Name:SPEECH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINDA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP; OM
Authorized Official - Phone:808-224-8569
Mailing Address - Street 1:725 KAPIOLANI BLVD STE C206
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6024
Mailing Address - Country:US
Mailing Address - Phone:808-596-0099
Mailing Address - Fax:
Practice Address - Street 1:725 KAPIOLANI BLVD STE C206
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6024
Practice Address - Country:US
Practice Address - Phone:808-596-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1035261QR0400X
CA12311261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation