Provider Demographics
NPI:1467894022
Name:CHINEN, VERNA MAE KN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:VERNA MAE
Middle Name:KN
Last Name:CHINEN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:VERNA MAE
Other - Middle Name:KN
Other - Last Name:LUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCCC-SLP
Mailing Address - Street 1:677 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 625
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5419
Mailing Address - Country:US
Mailing Address - Phone:808-692-1580
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:96813-5419
Practice Address - Country:US
Practice Address - Phone:808-692-1580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP 178235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist