Healthcare Provider Details

I. General information

NPI: 1447981030
Provider Name (Legal Business Name): EMILY HAWKINS SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2212 ENCOMPASS DR STE 148
CHATTANOOGA TN
37421-1577
US

IV. Provider business mailing address

2212 ENCOMPASS DR STE 148
CHATTANOOGA TN
37421-1577
US

V. Phone/Fax

Practice location:
  • Phone: 423-635-7733
  • Fax: 713-344-9420
Mailing address:
  • Phone: 423-635-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2228
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: