Provider Demographics
NPI:1255742219
Name:DAVIS, ALAINA SHERRELL (PHD, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ALAINA
Middle Name:SHERRELL
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
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Other - First Name:
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Mailing Address - Street 1:677 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 625
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5417
Mailing Address - Country:US
Mailing Address - Phone:808-692-1584
Mailing Address - Fax:808-566-6292
Practice Address - Street 1:677 ALA MOANA BLVD
Practice Address - Street 2:SUITE 625
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5417
Practice Address - Country:US
Practice Address - Phone:808-692-1584
Practice Address - Fax:808-566-6292
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI1388235Z00000X
DC324235Z00000X
TX105166235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist