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NPI Code Detail

MEDICARE: MELISSA W. HAWKINS PH.D.

MEDICARE: MELISSA W. HAWKINS PH.D.
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
1103TC0700XClinical PsychologistPY3450WA

General Provider Information

NPI Number : 1902950314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA W. HAWKINS PH.D.
Provider Business Mailing Address
First Line : 3824 38TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1106
Country : US
Telephone Number : 206-725-0750
Fax Number : 206-760-1180
Provider Business Practice Location Address
First Line : 210 W GALER ST
Second Line :
City : SEATTLE
State : WA
Zip : 98119-3332
Country : US
Telephone Number : 206-725-0750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 10/25/2024

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