Provider Demographics
NPI:1265633499
Name:HAWKINS-RODGERS, YOLANDA PATRICIA (EDD)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:PATRICIA
Last Name:HAWKINS-RODGERS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-4608
Mailing Address - Country:US
Mailing Address - Phone:201-489-3607
Mailing Address - Fax:210-489-3608
Practice Address - Street 1:105 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4608
Practice Address - Country:US
Practice Address - Phone:201-489-3607
Practice Address - Fax:210-489-3608
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4406103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist