Basic Information
| Provider Information | |||||||||
| NPI: | 1467707877 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TANAKA | ||||||||
| FirstName: | CHIEMI | ||||||||
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| Credential: | PH.D., CCC-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 677 ALA MOANA BLVD. | ||||||||
| Address2: | SUITE 1001 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968135417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084694900 | ||||||||
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| Practice Location | |||||||||
| Address1: | 677 ALA MOANA BLVD. | ||||||||
| Address2: | SUITE 625 | ||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968135417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8086921580 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2012 | ||||||||
| LastUpdateDate: | 07/23/2012 | ||||||||
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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 | 231H00000X | AUD140 | HI | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.