Provider Demographics
NPI:1467707877
Name:TANAKA, CHIEMI (PHD, CCC-A)
Entity Type:Individual
Prefix:
First Name:CHIEMI
Middle Name:
Last Name:TANAKA
Suffix:
Gender:F
Credentials:PHD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 ALA MOANA BLVD.
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5417
Mailing Address - Country:US
Mailing Address - Phone:808-469-4900
Mailing Address - Fax:
Practice Address - Street 1:677 ALA MOANA BLVD.
Practice Address - Street 2:SUITE 625
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5417
Practice Address - Country:US
Practice Address - Phone:808-692-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAUD140231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist