Provider Demographics
NPI:1619929213
Name:HAWFIELD, NANCY STEUBEN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:STEUBEN
Last Name:HAWFIELD
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 1:3332 RUNNING CEDAR WAY
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-2465
Mailing Address - Country:US
Mailing Address - Phone:757-208-0086
Mailing Address - Fax:757-208-0087
Practice Address - Street 1:3332 RUNNING CEDAR WAY
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2465
Practice Address - Country:US
Practice Address - Phone:757-208-0086
Practice Address - Fax:757-208-0087
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.001223235Z00000X
VA2202005701235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0004932108OtherFOR BC/BS IL
ILNH57971004POtherEARLY INTERVENTION IL