Yvonne Michiko Okutsu
Individual provider Active NPI Speech-Language Pathologist · Honolulu, HI
NPI 1992353304 · NPPES record last updated Aug 28, 2019
Key facts
- NPI
- 1992353304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP-328 (HI)
- Practice address
- 475 22ND Ave RM 127
Honolulu, HI 96816-4400 - Phone
- (808) 305-9750
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-328 | HI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-328 | HI | Yes |
Addresses
Primary practice location
475 22ND Ave RM 127
Honolulu, HI 96816-4400
Mailing address
475 22ND Ave RM 127
Honolulu, HI 96816-4400
Phone (808) 305-9750
Other practice location 1
475 22nd Ave Rm 127
Honolulu, HI 96816-4400
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- Natasha Olavarria
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All providers in Honolulu, HI · Speech-Language Pathologist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.