Provider Demographics
NPI:1588210587
Name:AKINA, MONA ANN HIYOTO (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:MONA
Middle Name:ANN HIYOTO
Last Name:AKINA
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 2ND AVE.
Mailing Address - Street 2:ROOM 127
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816
Mailing Address - Country:US
Mailing Address - Phone:808-305-9812
Mailing Address - Fax:
Practice Address - Street 1:475 2ND AVE.
Practice Address - Street 2:ROOM 127
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816
Practice Address - Country:US
Practice Address - Phone:808-305-9812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-379235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist