MEDICARE: LISA ANN HAWN M.A., 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	SA 1642	FL

General Provider Information

NPI Number	:	1710060900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ANN HAWN M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	3340 GREENVILLE ST
Second Line	:
City	:	COCOA
State	:	FL
Zip	:	32926-3759
Country	:	US
Telephone Number	:	321-633-5234
Fax Number	:	321-632-1379

Provider Business Practice Location Address
First Line	:	3340 GREENVILLE ST
Second Line	:
City	:	COCOA
State	:	FL
Zip	:	32926-3759
Country	:	US
Telephone Number	:	321-633-5234
Fax Number	:	321-632-1379

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1487502555 — CHRISTOPHER KNOWLES
Practice Location Address:

3672 TOMLIN DR
COCOA, FL
32926-4051

Practice Phone: 321-488-7019
Practice Fax:

1770584542 — CHRISTINE MARIE FARGO ARNP
Practice Location Address:

2300 STATE ROAD 524 , SUITE 104
COCOA, FL
32926-5894

Practice Phone: 321-868-8320
Practice Fax: 321-632-3445

1073553483 — PUBLIX SUPER MARKETS INC
Practice Location Address:

2301 SR 524 LOT 150
COCOA, FL
32926

Practice Phone: 321-636-6784
Practice Fax: 321-636-9824

1295848703 — A COUNSELING CENTER, INC.
Practice Location Address:

690 FRIDAY RD
COCOA, FL
32926-3317

Practice Phone: 321-636-9941
Practice Fax: 321-636-0915

1548364821 — MS. MARIA REMENSPERGER LMHC, CAP, SAP
Practice Location Address:

690 FRIDAY RD
COCOA, FL
32926-3317

Practice Phone: 321-961-4112
Practice Fax: 321-208-7077

1083718944 — HOLIDAY CVS LLC
Practice Location Address:

2324 STATE ROAD 524
COCOA, FL
32926-5893

Practice Phone: 321-636-9335
Practice Fax: 321-633-6205

Directions to “ LISA ANN HAWN M.A., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.