Individual
MRS. MARY SUE ROSSSPSPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SP
Contact information
Practice address
78-6957 KAMEHAMEHA III RD, KAILUA KONA, HI 96740-2528
(808) 322-2790
(808) 322-8813
Mailing address
78-6957 KAMEHAMEHA III RD, KAILUA KONA, HI 96740-2528
(808) 322-2790
(808) 322-8813
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP-836
HI
235Z00000X
Speech-Language Pathologist
SP-836
HI
Other
Enumeration date
03/16/2007
Last updated
09/11/2025
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