# PACIFIC SPEECH THERAPY LLC

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

## Provider details

- **NPI number:** 1235789496
- **Authorized official:** MRS. TRISHA RYAN MS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (808) 280-2732

## Contact information

- **Practice address:** 523 HIILEI PL, WAILUKU, HI 96793-1522
- **Practice address phone:** (808) 280-2732
- **Mailing address:** PO BOX 791659, PAIA, HI 96779-1659
- **Mailing address phone:** (808) 280-2732
- **Mailing address fax:** (808) 793-2307

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2019
- **Last updated:** 04/18/2023