MEDICARE: MEGHAN HAWK M.S., CF-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	11782	FL

General Provider Information

NPI Number	:	1477325512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN HAWK M.S., CF-SLP

Provider Business Mailing Address
First Line	:	7990 52ND ST N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-2449
Country	:	US
Telephone Number	:	727-656-3197
Fax Number	:

Provider Business Practice Location Address
First Line	:	5511 N HESPERIDES ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-5413
Country	:	US
Telephone Number	:	813-872-5344
Fax Number	:

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

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	10/23/2023

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