Individual
MISS SOPHIA LAINE BOSACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MS, CF-SLP
Contact information
Practice address
54-046 KAMEHAMEHA HWY, HAUULA, HI 96717-9647
(808) 305-2100
Mailing address
54-126 IMUA PL, HAUULA, HI 96717-9518
(609) 675-4602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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