Provider Demographics
NPI:1841310729
Name:ROBLES, CHARLENE K Y (MBA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:K Y
Last Name:ROBLES
Suffix:
Gender:F
Credentials:MBA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87-1386 FARRINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-3632
Mailing Address - Country:US
Mailing Address - Phone:808-668-5636
Mailing Address - Fax:
Practice Address - Street 1:94-144 FARRINGTON HWY STE 115
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1918
Practice Address - Country:US
Practice Address - Phone:808-678-3637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-361235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist