Basic Information
| Provider Information | |||||||||
| NPI: | 1649605866 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COLE | ||||||||
| FirstName: | JANICE | ||||||||
| MiddleName: | KUIOKA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 95-1062 MAHEA ST | ||||||||
| Address2: | |||||||||
| City: | MILILANI | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967896594 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8084502497 | ||||||||
| FaxNumber: | 8084502497 | ||||||||
| Practice Location | |||||||||
| Address1: | 128 LEHUA ST | ||||||||
| Address2: | |||||||||
| City: | WAHIAWA | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967862036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8086218411 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2013 | ||||||||
| LastUpdateDate: | 09/06/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 843 | HI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.