Provider Demographics
NPI:1790729309
Name:GIESS, SALLYANN (PHD, CCC-SLP)
Entity Type:Individual
Prefix:PROF
First Name:SALLYANN
Middle Name:
Last Name:GIESS
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 ALA MOANA BLVD STE 1001
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5408
Mailing Address - Country:US
Mailing Address - Phone:808-469-4900
Mailing Address - Fax:808-587-9507
Practice Address - Street 1:677 ALA MOANA BLVD STE 625
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5415
Practice Address - Country:US
Practice Address - Phone:808-692-1580
Practice Address - Fax:808-566-6292
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1957235Z00000X
CA17037235Z00000X
FLSA6328235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist