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NPI Code Detail

MEDICARE: LESLIE HAWKINS

MEDICARE:   LESLIE  HAWKINS
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
1235Z00000XSpeech-Language PathologistSL002792LPA

General Provider Information

NPI Number : 1588908339
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE HAWKINS
Provider Business Mailing Address
First Line : 25 TERION DR
Second Line :
City : SPRING BROOK TOWNSHIP
State : PA
Zip : 18444-6528
Country : US
Telephone Number : 570-842-8652
Fax Number :
Provider Business Practice Location Address
First Line : 25 TERION DR
Second Line :
City : SPRING BROOK TOWNSHIP
State : PA
Zip : 18444-6528
Country : US
Telephone Number : 570-842-8652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2012
Last Update Date : 11/18/2012

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Directions to “ LESLIE HAWKINS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.