Provider Demographics
NPI:1386938959
Name:HAWKINS, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3418
Mailing Address - Country:US
Mailing Address - Phone:646-549-1918
Mailing Address - Fax:516-822-0146
Practice Address - Street 1:125 CAMBRIDGE DR
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3418
Practice Address - Country:US
Practice Address - Phone:646-549-1918
Practice Address - Fax:516-822-0146
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017474-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist