Provider Demographics
NPI:1912118571
Name:HAWKINS, DIANA GAIL (MSCCCSLP)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:GAIL
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 GOBERT RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-9314
Mailing Address - Country:US
Mailing Address - Phone:501-525-0577
Mailing Address - Fax:
Practice Address - Street 1:524 CARPENTER DAM RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-8213
Practice Address - Country:US
Practice Address - Phone:501-262-4124
Practice Address - Fax:501-262-3911
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR346235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist