Doctor Name: | MRS. JOAN HIFUMI WYLIE |
NPI Number: | 1295070167 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S./CCC-SLP |
License Number: | 956 |
Business Practice Address: | 60 N Kuakini St Apt 2-i Honolulu, HI - 968172452 |
Business Phone Number: | 8082820228 |
Business Fax Number: | |
Mailing Address: | Po Box 61999, HONOLULU |
State: | HI |
Postal Code: | 968391999 |
Phone Number: | 8082820228 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2012 |
NPI Last Update Date: | 12/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 956 |
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 |