Provider Demographics
NPI:1215281100
Name:UEHARA-TOM, ROBYN M (MS)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:M
Last Name:UEHARA-TOM
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-408 AKOKI STREET
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1813
Mailing Address - Country:US
Mailing Address - Phone:808-676-5584
Mailing Address - Fax:
Practice Address - Street 1:94-408 AKOKI STREET
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1813
Practice Address - Country:US
Practice Address - Phone:808-676-5584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2015-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-383235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist