Provider Demographics
NPI:1124471487
Name:FRIAR, ELEANOR
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:FRIAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3763 ANUHEA ST
Mailing Address - Street 2:APARTMENT 3
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3875
Mailing Address - Country:US
Mailing Address - Phone:240-281-8600
Mailing Address - Fax:
Practice Address - Street 1:3763 ANUHEA ST
Practice Address - Street 2:APARTMENT 3
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3875
Practice Address - Country:US
Practice Address - Phone:240-281-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP - 1312235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HISP - 1312OtherHAWAII SPEECH AND HEARING ASSOCIATION