Provider Demographics
NPI:1003667197
Name:HAWKINS, CALLEIGH BRENNA
Entity type:Individual
Prefix:
First Name:CALLEIGH
Middle Name:BRENNA
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 1:1051 DARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8133
Mailing Address - Country:US
Mailing Address - Phone:984-299-6930
Mailing Address - Fax:
Practice Address - Street 1:1051 DARRINGTON DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8133
Practice Address - Country:US
Practice Address - Phone:817-514-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121047235Z00000X
NC30002849235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist