Destaney Channell Hawkins, SLP
Speech-Language Pathologist, in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1982258018
StatusActive
Last updated in NPPESJul 25, 2022
Details
- NPI
- 1982258018
- Entity type
- Individual (NPI-1)
- Name
- Miss Destaney Channell Hawkins
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2019
- Certification date
- Jul 25, 2022
- Last updated
- Jul 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 8101 | LA | Yes |
| 235Z00000X | Speech-Language Pathologist, | 115891 | TX |
Practice location
1805 College DrBaton Rouge, LA 70808-1919
Phone 225-923-3420 · Fax 225-922-9316
Mailing address
5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038
Phone 225-923-3420 · Fax 225-765-9196
Other practice locations
11830 Northpointe Blvd
Tomball, TX 77377-5536
Tomball, TX 77377-5536
Phone 281-205-9400
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