MEDICARE: MRS. KAUINOHEA CORREA CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP-1231	HI
2	235Z00000X	Speech-Language Pathologist	TSLP6086	AZ

General Provider Information

NPI Number	:	1144514001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAUINOHEA CORREA CCC-SLP

Provider Business Mailing Address
First Line	:	111 HEKILI ST # A116
Second Line	:
City	:	KAILUA
State	:	HI
Zip	:	96734-2800
Country	:	US
Telephone Number	:	480-688-8955
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 HEKILI ST # A116
Second Line	:
City	:	KAILUA
State	:	HI
Zip	:	96734-2800
Country	:	US
Telephone Number	:	480-688-8955
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2011
Last Update Date	:	10/19/2025

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Directions to “ MRS. KAUINOHEA CORREA CCC-SLP” Practice Location

Language	Start Address	Practice Location

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