Individual
SUSANNAH M WOOLWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
2-2488 KAUMUALII HWY, KALAHEO, HI 96741-8311
(808) 335-5808
(808) 335-5657
Mailing address
2-2488 KAUMUALII HWY, KALAHEO, HI 96741-8311
(808) 335-5808
(808) 335-5657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
HISP659
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0264877
HMSA
HI
01
—
01104834
ASHA
—
01
—
DU789Z
MEDICARE
HI
Enumeration date
09/16/2006
Last updated
08/13/2013
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