Individual
DR. SUSIE BARTOLOME PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSCD CCC-SLP
Contact information
Practice address
677 ALA MOANA BLVD STE 625, HONOLULU, HI 96813-5415
(808) 692-1580
(808) 566-6292
Mailing address
677 ALA MOANA BLVD STE 1001, HONOLULU, HI 96813-5408
(808) 469-4900
(808) 536-7315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1826
HI
Other
Enumeration date
08/24/2006
Last updated
01/13/2020
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