Provider Demographics
NPI:1710746615
Name:HAWKINS, CAMILLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:
Last Name:HAWKINS
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 1:5840 CAMERON RUN TER APT 708
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-1889
Mailing Address - Country:US
Mailing Address - Phone:703-595-3076
Mailing Address - Fax:
Practice Address - Street 1:1054 31ST ST NW STE 312
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-6042
Practice Address - Country:US
Practice Address - Phone:202-333-6251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSYA00397103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical