MEDICARE: MR. ROBERT C. HAWKINS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YP2500X	Professional Counselor	PC005911	PA

General Provider Information

NPI Number	:	1699947986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT C. HAWKINS LPC

Provider Business Mailing Address
First Line	:	266 PAUL ST.
Second Line	:	SUITE 203
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-2332
Country	:	US
Telephone Number	:	412-488-7832
Fax Number	:	412-432-5940

Provider Business Practice Location Address
First Line	:	226 PAUL ST
Second Line	:	SUITE 203
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-2332
Country	:	US
Telephone Number	:	412-488-7832
Fax Number	:	412-432-5940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	06/06/2012

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