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NPI Code Detail

MEDICARE: DR. WILLIAM JOSEPH HAWTHORNE III PSY.D.

MEDICARE: DR. WILLIAM JOSEPH HAWTHORNE III PSY.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
1103G00000XClinical NeuropsychologistPS-004929-LPA
2103TC0700XClinical PsychologistPS-004929-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346277944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOSEPH HAWTHORNE III PSY.D.
Provider Business Mailing Address
First Line : 201 PENN CENTER BLVD STE 400
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-5441
Country : US
Telephone Number : 412-825-5149
Fax Number : 412-533-3325
Provider Business Practice Location Address
First Line : 201 PENN CENTER BLVD STE 400
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-5441
Country : US
Telephone Number : 412-242-3050
Fax Number : 412-533-3325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 09/12/2022

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