Provider Demographics
NPI:1932466042
Name:ALOHA SPEECH THERAPY
Entity Type:Organization
Organization Name:ALOHA SPEECH THERAPY
Other - Org Name:ALOHA THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLING
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-SLP
Authorized Official - Phone:360-929-7978
Mailing Address - Street 1:1215 S KIHEI RD
Mailing Address - Street 2:SUITE O-709
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-5220
Mailing Address - Country:US
Mailing Address - Phone:808-344-0817
Mailing Address - Fax:808-874-5599
Practice Address - Street 1:3226 PIKAI WAY
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-7702
Practice Address - Country:US
Practice Address - Phone:360-929-7978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP1120251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management