Provider Demographics
NPI:1295285351
Name:HAWKINS, BRITLEIGH (CCC-SLP)
Entity type:Individual
Prefix:
First Name:BRITLEIGH
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9565 HWY 78 BLDG 700 SUITE 102
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-6433
Mailing Address - Country:US
Mailing Address - Phone:885-106-3698
Mailing Address - Fax:888-510-9156
Practice Address - Street 1:300 N CEDAR ST
Practice Address - Street 2:SUITE C-1
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483
Practice Address - Country:US
Practice Address - Phone:843-560-9172
Practice Address - Fax:843-285-8317
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5865235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist