Dr Susie Bartolome Peterson, CSCD CCC-SLP | |
677 Ala Moana Blvd Ste 625, Honolulu, HI 96813-5415 | |
(808) 692-1580 | |
(808) 566-6292 |
Full Name | Dr Susie Bartolome Peterson |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 677 Ala Moana Blvd Ste 625, Honolulu, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063529956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP-1826 (Hawaii) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225799182 PECOS PAC ID: 2365359932 Enrollment ID: O20220221000017 |
Mailing Address | Practice Location Address |
---|---|
Dr Susie Bartolome Peterson, CSCD CCC-SLP 677 Ala Moana Blvd Ste 1001, Honolulu, HI 96813-5408 Ph: (808) 469-4900 | Dr Susie Bartolome Peterson, CSCD CCC-SLP 677 Ala Moana Blvd Ste 625, Honolulu, HI 96813-5415 Ph: (808) 692-1580 |
Lauren Marie Eudoxie, M.SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 725 Kapiolani Blvd, Honolulu, HI 96813 Phone: 808-596-4650 | |
Jacquelyn Jarachovic, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1519 Queen Emma St, Honolulu, HI 96813 Phone: 808-587-4510 | |
Shauna Ainuu, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 710 Green St, Honolulu, HI 96813 Phone: 808-536-3764 | |
Maria Jordan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 22nd Ave Rm 127, Honolulu, HI 96816 Phone: 808-733-4940 | |
Tina Thanh Huong Le, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 22nd Ave # 302, Honolulu, HI 96816 Phone: 808-305-9750 Fax: 808-733-9154 | |
Marissa Lyn Cheape, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 22nd Ave Rm 127, Honolulu, HI 96816 Phone: 808-627-7300 | |
Mrs. Christie Eiko Hoota Iraha, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 475 22nd Ave Rm 127, Honolulu, HI 96816 Phone: 808-282-2333 |