Doctor Name: | MRS. CRISTINA MARIE CLEMENS |
NPI Number: | 1104090554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | |
Business Practice Address: | 95 Mahalani St St 19a Wailuku, HI - 96793 |
Business Phone Number: | 8082447467 |
Business Fax Number: | 8082424762 |
Mailing Address: | 95 Mahalani St, St 19a WAILUKU |
State: | HI |
Postal Code: | 96793 |
Phone Number: | 8082447467 |
Fax Number: | 8082424762 |
NPI Enumeration Date: | 04/16/2008 |
NPI Last Update Date: | 04/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |