Provider Demographics
NPI:1760884985
Name:ALISON HAWKINSON, PSYD, LP, LLC
Entity Type:Organization
Organization Name:ALISON HAWKINSON, PSYD, LP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.P.
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:HAWKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:651-304-0221
Mailing Address - Street 1:680 COMMERCE DR STE 260
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4502
Mailing Address - Country:US
Mailing Address - Phone:612-594-2914
Mailing Address - Fax:877-992-0282
Practice Address - Street 1:680 COMMERCE DR STE 260
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4502
Practice Address - Country:US
Practice Address - Phone:612-594-2914
Practice Address - Fax:877-992-0282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5002103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1902045669OtherNPI - TYPE 1