Provider Demographics
NPI:1922248277
Name:OAHU SPEECH LANGUAGE PATHOLOGY CONSULTANTS
Entity Type:Organization
Organization Name:OAHU SPEECH LANGUAGE PATHOLOGY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MARASOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-593-0030
Mailing Address - Street 1:1010 S KING ST STE B6
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1700
Mailing Address - Country:US
Mailing Address - Phone:808-593-0030
Mailing Address - Fax:808-593-0026
Practice Address - Street 1:1010 S KING ST STE B6
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1700
Practice Address - Country:US
Practice Address - Phone:808-593-0030
Practice Address - Fax:808-593-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI260235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty