Provider Demographics
NPI:1699185074
Name:HEWSON, DANIEL JOSEPH (HAD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOSEPH
Last Name:HEWSON
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6319 W HONEYSUCKLE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-1824
Mailing Address - Country:US
Mailing Address - Phone:281-667-6545
Mailing Address - Fax:512-858-2714
Practice Address - Street 1:20 ROPER CORNERS CIR STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4889
Practice Address - Country:US
Practice Address - Phone:864-999-0261
Practice Address - Fax:864-568-3241
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD5934237700000X
SCHAS-0776237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ197641OtherMEDICARE