# JB SPEECH THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164940417
- **Authorized official:** JACLYNN BROOKE STEIN M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (808) 446-6167

## Contact information

- **Practice address:** 368 ALIIOLANI ST, MAKAWAO, HI 96768-8314
- **Practice address phone:** (808) 446-6167
- **Practice address fax:** (808) 579-8049
- **Mailing address:** 368 ALIIOLANI ST, MAKAWAO, HI 96768-8314
- **Mailing address phone:** (808) 446-6167
- **Mailing address fax:** (808) 579-8049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 1547 | HI | Yes |

## Other

- **Enumeration date:** 09/07/2017
- **Last updated:** 07/21/2022