Provider Demographics
NPI:1871953661
Name:HAWKINS, JARIN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:JARIN
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 SAINT MARYS VIEW RD
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3767
Mailing Address - Country:US
Mailing Address - Phone:804-370-2390
Mailing Address - Fax:
Practice Address - Street 1:2146 24TH PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1402
Practice Address - Country:US
Practice Address - Phone:202-774-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000864235Z00000X
MD07606235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist