Most Relevant Information
Provider Data
| NPI Number: | 1003487885 |
| Provider Name: | JULIE YASUTAKE M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2021 |
| Last Updated: | 07/02/2021 |
Provider Practice Location
94-705 KAAKA ST
WAIPAHU
HI
967971222
Practice Location Phone/Fax
| Phone: | 8087214535 |
| Fax: |
Provider Mailing Location
94-705 KAAKA ST
WAIPAHU
HI
967971222
Provider Mailing Phone/Fax
| Phone: | 8087214535 |
| Fax: |