Provider Demographics
NPI:1376574202
Name:DILL, JUDY HAWKINS (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:HAWKINS
Last Name:DILL
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:MS
Other - First Name:JUDY
Other - Middle Name:CATHERINE
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:6750 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2420
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6750 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2420
Practice Address - Country:US
Practice Address - Phone:972-409-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS