Provider Demographics
NPI:1174535983
Name:SUZUKI, DEBORAH (AUD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:SUZUKI
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:PO BOX 860270
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-0270
Mailing Address - Country:US
Mailing Address - Phone:808-292-1263
Mailing Address - Fax:
Practice Address - Street 1:3221 WAIALAE AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5842
Practice Address - Country:US
Practice Address - Phone:808-292-1263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAUD10231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI308643OtherUHA
HI990176859000OtherTRICARE CHAMPUS
HI237677OtherHMSA, HMSA QUEST, 65CP
HI237677OtherHMSA, HMSA QUEST, 65CP