Doctor Name: | MRS. CHERYL DIANNE HAWLEY |
NPI Number: | 1093063455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA/CCC/SLP |
License Number: | S3699 |
Business Practice Address: | 4500 I 55 N Highland Village Ste 291 Jackson, MS - 392115930 |
Business Phone Number: | 6013620859 |
Business Fax Number: | |
Mailing Address: | 240 Greensview Dr, BRANDON |
State: | MS |
Postal Code: | 390477681 |
Phone Number: | 7695725506 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3699 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |