Provider Demographics
NPI:1366633174
Name:MATSUBARA, ARLENE K (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:K
Last Name:MATSUBARA
Suffix:
Gender:F
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 1:712 OPOI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1630
Mailing Address - Country:US
Mailing Address - Phone:808-927-4216
Mailing Address - Fax:
Practice Address - Street 1:712 OPOI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1630
Practice Address - Country:US
Practice Address - Phone:808-927-4216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist