Provider Demographics
NPI:1851398028
Name:HAWLEY, CLAUDIA DEMBSKI (M A CCC A)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:DEMBSKI
Last Name:HAWLEY
Suffix:
Gender:F
Credentials:M A CCC A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5641 ZUMBRA DRIVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331
Mailing Address - Country:US
Mailing Address - Phone:952-474-2305
Mailing Address - Fax:952-474-9222
Practice Address - Street 1:5641 ZUMBRA DRIVE
Practice Address - Street 2:SUITE 111
Practice Address - City:DIRECTOR
Practice Address - State:MN
Practice Address - Zip Code:55381
Practice Address - Country:US
Practice Address - Phone:952-474-2305
Practice Address - Fax:952-474-9222
Is Sole Proprietor?:No
Enumeration Date:2005-07-04
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5114231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN894553500Medicaid
MN894553500Medicaid
MN640000012Medicare ID - Type UnspecifiedAUDIOLOGY