Provider Demographics
NPI:1710956446
Name:GOO-YOSHINO, SHARI YUK SUM (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:YUK SUM
Last Name:GOO-YOSHINO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99-514 KAHOLI PL
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3318
Mailing Address - Country:US
Mailing Address - Phone:808-486-6415
Mailing Address - Fax:
Practice Address - Street 1:99-514 KAHOLI PL
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3318
Practice Address - Country:US
Practice Address - Phone:808-486-6415
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-312235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist