Individual
MRS. COLLEEN IRVING HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-SLP
Contact information
Practice address
345 DANSBY CT., PIKE ROAD, AL 36064
(727) 641-6482
Mailing address
345 DANSBY CT., PIKE ROAD, AL 36064
(727) 641-6482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3681
TN
Other
Enumeration date
09/17/2007
Last updated
01/10/2018
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