Healthcare Provider Details

I. General information

NPI: 1619203965
Provider Name (Legal Business Name): MR. MATTHEW HAWKINS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2009
Last Update Date: 10/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4368 LINCOLN AVE
OAKLAND CA
94602-2529
US

IV. Provider business mailing address

9132 DATE ST
OAKLAND CA
94603-1112
US

V. Phone/Fax

Practice location:
  • Phone: 510-531-3111
  • Fax:
Mailing address:
  • Phone: 510-798-8055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: