Doctor Name: | BETHANY M HAWK |
NPI Number: | 1932526746 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3815 |
Business Practice Address: | 270 Richland Dr Pulaski, TN - 384782616 |
Business Phone Number: | 9313634558 |
Business Fax Number: | 9313638975 |
Mailing Address: | 270 Richland Dr, PULASKI |
State: | TN |
Postal Code: | 384782616 |
Phone Number: | 9313634558 |
Fax Number: | 9313638975 |
NPI Enumeration Date: | 03/19/2014 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |