Provider Demographics
NPI:1972072981
Name:O'CONNELL, SHAYLA ARCENIA (AUD)
Entity type:Individual
Prefix:DR
First Name:SHAYLA
Middle Name:ARCENIA
Last Name:O'CONNELL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 S KING ST STE 802
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1709
Mailing Address - Country:US
Mailing Address - Phone:180-859-7187
Mailing Address - Fax:
Practice Address - Street 1:1010 S KING ST STE 802
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1709
Practice Address - Country:US
Practice Address - Phone:808-597-1877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI190231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist