Basic Information
| Provider Information | |||||||||
| NPI: | 1164640348 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHINTANI | ||||||||
| FirstName: | JANICE | ||||||||
| MiddleName: | S. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.S., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 94-201 MAHAPILI ST | ||||||||
| Address2: | |||||||||
| City: | MILILANI | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967891805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8086230115 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 94-144 FARRINGTON HWY | ||||||||
| Address2: | #115 | ||||||||
| City: | WAIPAHU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967971901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8086783814 | ||||||||
| FaxNumber: | 8086783820 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SP-15 | HI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.