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Individual

MS. SHAYLA L LEMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
2148 AWAPUHI ST, HILO, HI 96720-5290
(808) 365-8128
(808) 961-6383
Mailing address
2148 AWAPUHI ST, HILO, HI 96720-5290
(808) 365-8128
(808) 961-6383

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306468806
PRIVATE PAY
HI
05
1891375028
HI
Enumeration date
05/25/2022
Last updated
03/06/2024
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