Provider Demographics
NPI:1982934121
Name:HIGA, LIANE E (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LIANE
Middle Name:E
Last Name:HIGA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LIANE
Other - Middle Name:E
Other - Last Name:FURUKAWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
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:808-999-0606
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
Practice Address - Country:US
Practice Address - Phone:808-451-6781
Practice Address - Fax:808-999-0606
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-1041235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist