Doctor Name: | MR. GREGG W. LEE |
NPI Number: | 1255519732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CCC-SLP |
License Number: | SP-539 |
Business Practice Address: | 3210 Oahu Ave Honolulu, HI - 968221248 |
Business Phone Number: | 8083893961 |
Business Fax Number: | |
Mailing Address: | Po Box 61662, HONOLULU |
State: | HI |
Postal Code: | 968391662 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/06/2008 |
NPI Last Update Date: | 02/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-539 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
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 |