Provider Demographics
NPI:1588065734
Name:POLLARD, AMELIA (AUD)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:POLLARD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:407 ULUNIU ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2519
Mailing Address - Country:US
Mailing Address - Phone:808-262-6673
Mailing Address - Fax:808-263-4368
Practice Address - Street 1:407 ULUNIU ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2519
Practice Address - Country:US
Practice Address - Phone:808-262-6673
Practice Address - Fax:808-263-4368
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4010237600000X
HIAUD-239-0231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU3108OtherSTATE LICENSE
SC4010OtherSTATE LICENSE
HIAUD-239-0OtherSTATE LICENSE