Individual
AMY ALLISON SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
563 KAUMANA DR, HILO, HI 96720-1812
(808) 498-0100
(808) 935-5801
Mailing address
2881 KAIWIKI RD, HILO, HI 96720-9729
(808) 351-6741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1534
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14049954
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION;
—
01
—
SP-1534
STATE OF HAWAII DEPARTMENT OF COMMERCE & CONSUMER AFFAIRS
HI
Enumeration date
10/21/2020
Last updated
10/21/2020
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