Individual
MRS. KELLY BERRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
226 N KUAKINI ST, HONOLULU, HI 96817-2488
(808) 531-3511
Mailing address
226 N KUAKINI ST, HONOLULU, HI 96817-2498
(808) 542-6454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14088847
HI
Other
Enumeration date
06/19/2020
Last updated
03/23/2021
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