Provider Demographics
NPI:1932466091
Name:SUISON, CYRYL (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:CYRYL
Middle Name:
Last Name:SUISON
Suffix:
Gender:M
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:CY
Other - Middle Name:V
Other - Last Name:SUISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:407 ULUNIU ST.
Mailing Address - Street 2:SUITE 212
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2537
Mailing Address - Country:US
Mailing Address - Phone:808-262-6673
Mailing Address - Fax:
Practice Address - Street 1:407 ULUNIU ST.
Practice Address - Street 2:SUITE 212
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2537
Practice Address - Country:US
Practice Address - Phone:808-262-6673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI123231H00000X
HI216237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter