Provider Demographics
NPI:1457655649
Name:HAWRYLUK, MARY KATHERINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARY KATHERINE
Middle Name:
Last Name:HAWRYLUK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-2140
Mailing Address - Country:US
Mailing Address - Phone:609-799-8674
Mailing Address - Fax:
Practice Address - Street 1:70 S MAIN ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3140
Practice Address - Country:US
Practice Address - Phone:609-619-2762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-02
Last Update Date:2011-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100272700103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist