Provider Demographics
NPI:1902045669
Name:HAWKINSON, ALISON PAIGE (PSYD, LP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:PAIGE
Last Name:HAWKINSON
Suffix:
Gender:F
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 INWOOD AVE N STE 155
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-7096
Mailing Address - Country:US
Mailing Address - Phone:612-594-2914
Mailing Address - Fax:877-800-6483
Practice Address - Street 1:600 INWOOD AVE N STE 155
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-7096
Practice Address - Country:US
Practice Address - Phone:612-594-2914
Practice Address - Fax:877-800-6483
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5002103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical