Individual
DR. SANDRA MARY STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
333 AOLOA ST APT 303, KAILUA, HI 96734-3027
(808) 721-3123
Mailing address
333 AOLOA ST APT 303, KAILUA, HI 96734-3027
(808) 721-3123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 586
HI
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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