Provider Demographics
NPI:1689481012
Name:LONGHI, ANNA CHRISTIE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CHRISTIE
Last Name:LONGHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1015 HOLUNAPE ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2637
Mailing Address - Country:US
Mailing Address - Phone:808-343-7746
Mailing Address - Fax:
Practice Address - Street 1:1 C AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-4079
Practice Address - Country:US
Practice Address - Phone:808-622-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-2296235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist