Healthcare Provider Details

I. General information

NPI: 1598893810
Provider Name (Legal Business Name): MARY E HLAWATI M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 08/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 EVANS DR
MC MURRAY PA
15317-2703
US

IV. Provider business mailing address

115 EVANS DR
MC MURRAY PA
15317-2703
US

V. Phone/Fax

Practice location:
  • Phone: 412-915-3568
  • Fax:
Mailing address:
  • Phone: 412-915-3568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL008189
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier101464580
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: