Healthcare Provider Details

I. General information

NPI: 1528795879
Provider Name (Legal Business Name): SANTINA SCHIARETTA MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-216 FARRINGTON HWY BLDG B-2 SUITE 301
WAIPAHU HI
96797
US

IV. Provider business mailing address

94-216 FARRINGTON HWY BUILDING B-2 SUITE 301
WAIPAHU HI
96797
US

V. Phone/Fax

Practice location:
  • Phone: 808-676-5584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: