MEDICARE: REGINA HAWKINS M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	10134	CA

General Provider Information

NPI Number	:	1154630242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA HAWKINS M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	240 TAURUS AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-1934
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 TAURUS AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-1934
Country	:	US
Telephone Number	:	510-289-8621
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2010
Last Update Date	:	02/20/2026

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