Provider Demographics
NPI:1801092200
Name:REED, ROBBIN C (MS, CCC)
Entity type:Individual
Prefix:MRS
First Name:ROBBIN
Middle Name:C
Last Name:REED
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 BISHOP ST
Mailing Address - Street 2:#327
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4817
Mailing Address - Country:US
Mailing Address - Phone:808-247-1321
Mailing Address - Fax:808-236-7740
Practice Address - Street 1:99-080 KAUHALE ST
Practice Address - Street 2:D9
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4116
Practice Address - Country:US
Practice Address - Phone:808-483-4906
Practice Address - Fax:808-483-4914
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI58235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00422873OtherASHA
HI#58OtherSTATE LICENSE