Provider Demographics
NPI:1154167914
Name:HAWKINS, MADELINE OLIVIA (MS, SLP-CF)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:OLIVIA
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 SWIFT STREAM PL UNIT 14-408
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4592
Mailing Address - Country:US
Mailing Address - Phone:412-758-9476
Mailing Address - Fax:
Practice Address - Street 1:11150 RESORT RD
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2050
Practice Address - Country:US
Practice Address - Phone:410-461-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist