Provider Demographics
NPI:1730320789
Name:HAWKINS, REBECCA B (SCHOOL PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:B
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 SHALON CIR
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-1214
Mailing Address - Country:US
Mailing Address - Phone:540-467-5786
Mailing Address - Fax:
Practice Address - Street 1:720 SHALON CIR
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-1214
Practice Address - Country:US
Practice Address - Phone:540-467-5786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool