Debra Greene Hawn, MA/CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Granite Falls, NC

NPI 1740458496 · NPPES record last updated Jul 5, 2022

Key facts

NPI
1740458496
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1690 (NC)
Practice address
6 Park SQ
Granite Falls, NC 28630-1528
Phone
(828) 234-5445
Fax
(828) 754-9663
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1690NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Debra G Hawn Speech-Language Pathologist Current
since Jul 3, 2022
Accepting new patients

Locations

6 Park Sq
Granite Falls, NC 28630
Phone (828) 234-5445

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1690 NC Yes

Addresses

Primary practice location

6 Park SQ
Granite Falls, NC 28630-1528

Mailing address

415 Woodridge Dr
Lenoir, NC 28645-5909
Phone (828) 234-5445

Other identifiers

IdentifierTypeStateIssuer
1740458496MedicaidNC

Other providers in Granite Falls, NC

All providers in Granite Falls, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.