Individual
MS. JILL K HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.,CCC-A
Contact information
Practice address
206 THREE SPRINGS DR, SUITE 1, WEIRTON, WV 26062-3848
(304) 914-4009
Mailing address
206 THREE SPRINGS DR, SUITE 1, WEIRTON, WV 26062-3848
(304) 914-4009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A-0149
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007786855
AETNA
WV
01
—
001708604
BLUE CROSS BLUE SHIELD
WV
05
—
3810006132
—
WV
01
—
848826
CIGNA
WV
01
—
AUD800
HEALTH PLAN OF UPPER OHIO
WV
Enumeration date
12/05/2006
Last updated
12/07/2016
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