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NPI Code Detail

MEDICARE: JOCELYN HAWKINS SLP

MEDICARE: JOCELYN HAWKINS 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
1235Z00000XSpeech-Language Pathologist003710CT

General Provider Information

NPI Number : 1811094642
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN HAWKINS SLP
Provider Business Mailing Address
First Line : 100 DEERFIELD RD
Second Line :
City : WINDSOR
State : CT
Zip : 06095-4252
Country : US
Telephone Number : 860-714-9500
Fax Number : 860-714-8555
Provider Business Practice Location Address
First Line : 100 DEERFIELD RD
Second Line :
City : WINDSOR
State : CT
Zip : 06095-4252
Country : US
Telephone Number : 860-714-9500
Fax Number : 860-714-8555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ JOCELYN HAWKINS SLP” Practice Location

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