Individual
DANA ROBIN WETMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
91-970 KAILEOLEA DR, EWA BEACH, HI 96706-5034
(808) 689-1380
Mailing address
1431 D 10TH AVE, HONOLULU, HI 96816
(484) 264-5500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1743
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14192862
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
SP-1743
STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
HI
Enumeration date
01/09/2019
Last updated
01/09/2019
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