Provider Demographics
NPI:1871659094
Name:SPHEERIS, KARA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:
Last Name:SPHEERIS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 AKIOHALA ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3977
Mailing Address - Country:US
Mailing Address - Phone:808-371-1533
Mailing Address - Fax:619-793-5508
Practice Address - Street 1:7018 HAWAII KAI DR
Practice Address - Street 2:504
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-4150
Practice Address - Country:US
Practice Address - Phone:808-779-8475
Practice Address - Fax:808-394-8702
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00A252278OtherBLUE CROSS BLUE SHEILD