Provider Demographics
NPI:1215217732
Name:HADYN-HAWKINS, NANCY P (SLP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:P
Last Name:HADYN-HAWKINS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6317 CLOVERLEAF CIR
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2043
Mailing Address - Country:US
Mailing Address - Phone:716-741-2962
Mailing Address - Fax:
Practice Address - Street 1:4560 BONCREST DR E
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6304
Practice Address - Country:US
Practice Address - Phone:716-407-9250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0021021235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist