Provider Demographics
NPI:1790804854
Name:HAWKINS, THOMASINA ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMASINA
Middle Name:ANNE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 PINEVIEW DR STE B
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2714
Mailing Address - Country:US
Mailing Address - Phone:304-598-2300
Mailing Address - Fax:304-598-2307
Practice Address - Street 1:1224B PINEVIEW DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2714
Practice Address - Country:US
Practice Address - Phone:304-598-2300
Practice Address - Fax:304-598-2307
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV945103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist