Provider Demographics
NPI:1417978545
Name:HAWKINS, ERIKA P (EDD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:P
Last Name:HAWKINS
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 1:2020 YARROW ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5642
Mailing Address - Country:US
Mailing Address - Phone:303-297-8036
Mailing Address - Fax:303-274-0435
Practice Address - Street 1:2020 YARROW ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5642
Practice Address - Country:US
Practice Address - Phone:303-297-8036
Practice Address - Fax:303-274-0435
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1790103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07002124Medicaid
COC61516Medicare ID - Type Unspecified