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NPI Code Detail

MEDICARE: MRS. UILANI KEALOHA CHUNG CCC-SLP

MEDICARE: MRS. UILANI KEALOHA CHUNG 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
1235Z00000XSpeech-Language PathologistLL00002809WA

General Provider Information

NPI Number : 1720229016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. UILANI KEALOHA CHUNG CCC-SLP
Provider Business Mailing Address
First Line : 4722 143RD ST SE
Second Line :
City : SNOHOMISH
State : WA
Zip : 98296-7648
Country : US
Telephone Number : 425-337-8861
Fax Number :
Provider Business Practice Location Address
First Line : 1355 W MAIN ST
Second Line :
City : MONROE
State : WA
Zip : 98272-2022
Country : US
Telephone Number : 360-794-4011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2009
Last Update Date : 03/16/2009

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Directions to “ MRS. UILANI KEALOHA CHUNG CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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