MEDICARE: MRS. HEIDI MARIE HAWES 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	SZ4218	FL
2	235Z00000X	Speech-Language Pathologist	SA9734	FL

General Provider Information

NPI Number	:	1386841567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEIDI MARIE HAWES M.S., CCC, SLP

Provider Business Mailing Address
First Line	:	4400 WEST SPRUCE STREET APT 482
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607
Country	:	US
Telephone Number	:	775-560-7303
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 WEST SPRUCE ST
Second Line	:	#467
City	:	TAMPA
State	:	FL
Zip	:	33607
Country	:	US
Telephone Number	:	775-560-7303
Fax Number	:

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

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	06/09/2017

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