Doctor Name: | BRIANNA TATEKAWA |
NPI Number: | 1871829465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, BCBA |
License Number: | SP-1016 |
Business Practice Address: | 1259 South Beretania Street Suite 4 Honolulu, HI - 96814 |
Business Phone Number: | 8085911173 |
Business Fax Number: | 8085911174 |
Mailing Address: | 1259 South Beretania Street, Suite 4 HONOLULU |
State: | HI |
Postal Code: | 96814 |
Phone Number: | 8085911173 |
Fax Number: | 8085911174 |
NPI Enumeration Date: | 11/02/2009 |
NPI Last Update Date: | 11/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-1016 |
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 |