Provider Demographics
NPI:1952907123
Name:808 SPEECH, LLC
Entity Type:Organization
Organization Name:808 SPEECH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:HIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-451-6781
Mailing Address - Street 1:91-1001 KEAUNUI DR UNIT 354
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6345
Mailing Address - Country:US
Mailing Address - Phone:808-451-6781
Mailing Address - Fax:808-791-4169
Practice Address - Street 1:91-1001 KEAUNUI DR UNIT 354
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-6345
Practice Address - Country:US
Practice Address - Phone:808-451-6781
Practice Address - Fax:808-791-4169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty