Individual
LOUISE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
HC 2 BOX 9605, KEAAU, HI 96749-9332
(808) 785-2910
Mailing address
HC 2 BOX 9605, KEAAU, HI 96749-9332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 811
HI
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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