Provider Demographics
NPI:1609032960
Name:HAWKINS, ANDREA JANE-MARIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:JANE-MARIE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9097 E DESERT COVE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6280
Mailing Address - Country:US
Mailing Address - Phone:480-614-5406
Mailing Address - Fax:480-214-9929
Practice Address - Street 1:4140 E BASELINE RD STE 211
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4415
Practice Address - Country:US
Practice Address - Phone:480-273-8680
Practice Address - Fax:480-306-7683
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA5873231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZDA5873OtherAZ DEPARTMENT OF HEALTH SERVICES