Individual
MRS. JACLYN SADAKO TERUYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1611 KEWALO ST, HONOLULU, HI 96822-3134
(808) 387-6640
Mailing address
PO BOX 17945, HONOLULU, HI 96817-0945
(808) 387-6640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1531
HI
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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