Provider Demographics
NPI:1699983130
Name:TOKISHI, WALTER (SP)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:
Last Name:TOKISHI
Suffix:
Gender:M
Credentials:SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2218
Mailing Address - Country:US
Mailing Address - Phone:808-249-2700
Mailing Address - Fax:808-249-2700
Practice Address - Street 1:233 S MARKET ST
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2218
Practice Address - Country:US
Practice Address - Phone:808-249-2700
Practice Address - Fax:808-249-2700
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI93235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIR0044769OtherHMSA
HI$$$$$$$$$OtherHMAA