Provider Demographics
NPI:1720265010
Name:CRABBE, DOUGLAS KEONI (MS, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:KEONI
Last Name:CRABBE
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 AINAPO ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1042
Mailing Address - Country:US
Mailing Address - Phone:808-277-6861
Mailing Address - Fax:
Practice Address - Street 1:634 AINAPO ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1042
Practice Address - Country:US
Practice Address - Phone:808-277-6861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-424235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist