Healthcare Provider Details

I. General information

NPI: 1235494691
Provider Name (Legal Business Name): LAURA YEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2012
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 22ND AVE BLDG 302
HONOLULU HI
96816-4400
US

IV. Provider business mailing address

58 CLIFTWOOD DR
HUNTINGTON NY
11743-2103
US

V. Phone/Fax

Practice location:
  • Phone: 808-305-9750
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number020774
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1383
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: