Healthcare Provider Details
I. General information
NPI: 1275860769
Provider Name (Legal Business Name): AMY ELIZABETH OCHI M.S.,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/04/2009
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1319 PUNAHOU ST
HONOLULU HI
96826-1001
US
IV. Provider business mailing address
95-931 UKUWAI ST APT 505
MILILANI HI
96789-5904
US
V. Phone/Fax
- Phone: 808-983-8219
- Fax:
- Phone: 808-783-3424
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SP-851 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: