Provider Demographics
NPI:1568500429
Name:HAWLEY, DIANE S (BSN, RN, MA, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:S
Last Name:HAWLEY
Suffix:
Gender:F
Credentials:BSN, RN, MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2456 PENRY RD
Mailing Address - Street 2:
Mailing Address - City:RADNOR
Mailing Address - State:OH
Mailing Address - Zip Code:43066-9773
Mailing Address - Country:US
Mailing Address - Phone:740-972-9805
Mailing Address - Fax:
Practice Address - Street 1:2456 PENRY RD
Practice Address - Street 2:
Practice Address - City:RADNOR
Practice Address - State:OH
Practice Address - Zip Code:43066-9773
Practice Address - Country:US
Practice Address - Phone:740-972-9805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health