Provider Demographics
NPI:1952420242
Name:CARPIO, MARLA J (MACCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:J
Last Name:CARPIO
Suffix:
Gender:F
Credentials:MACCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 KAPIOLANI BLVD STE C206
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6024
Mailing Address - Country:US
Mailing Address - Phone:808-596-0099
Mailing Address - Fax:888-331-0723
Practice Address - Street 1:725 KAPIOLANI BLVD STE C206
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-6024
Practice Address - Country:US
Practice Address - Phone:808-596-0099
Practice Address - Fax:888-331-0723
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA14455235Z00000X
HISP-1765235Z00000X
NC7267235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist