Individual
BETHANY M HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 RICHLAND DR, PULASKI, TN 38478-2616
(931) 363-4558
(931) 363-8975
Mailing address
270 RICHLAND DR, PULASKI, TN 38478-2616
(931) 363-4558
(931) 363-8975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3815
TN
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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