Provider Demographics
NPI:1508421652
Name:CHOCK, KRISTEE SATSUE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KRISTEE
Middle Name:SATSUE
Last Name:CHOCK
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:KRISTEE
Other - Middle Name:SATSUE
Other - Last Name:KANESHIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:98-029 HEKAHA ST STE 44
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4918
Mailing Address - Country:US
Mailing Address - Phone:808-488-2211
Mailing Address - Fax:
Practice Address - Street 1:98-029 HEKAHA ST STE 44
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4918
Practice Address - Country:US
Practice Address - Phone:808-488-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-03
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1057235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist