Provider Demographics
NPI:1477713972
Name:HAWLEY, JENNIFER ROSE (MS CF-SLP)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:ROSE
Last Name:HAWLEY
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 CRESTVIEW AVE SW
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4505
Mailing Address - Country:US
Mailing Address - Phone:252-237-0724
Mailing Address - Fax:252-234-7597
Practice Address - Street 1:403 CRESTVIEW AVE SW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4505
Practice Address - Country:US
Practice Address - Phone:252-237-0724
Practice Address - Fax:252-234-7597
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist