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Individual

EMILY MISCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
450 WAIANUENUE AVE RM 4, HILO, HI 96720-2521
(816) 686-6716
Mailing address
450 WAIANUENUE AVE RM 4, HILO, HI 96720-2521
(816) 686-6716

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2016030527
MO
235Z00000X
Speech-Language Pathologist
Primary
2024033152
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22951
MEDICARE
FL
01
962180774
UNITED HEALTH CRARE
MO
05
962180774
MO
05
SP-2378
HI
Enumeration date
08/23/2016
Last updated
01/04/2025
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