Provider Demographics
NPI:1205940376
Name:HAWKINS, JOBETH H (PHD)
Entity type:Individual
Prefix:DR
First Name:JOBETH
Middle Name:H
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 1:4704 BRAEBURN DR
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5312
Mailing Address - Country:US
Mailing Address - Phone:713-664-7203
Mailing Address - Fax:
Practice Address - Street 1:24 E GREENWAY PLZ
Practice Address - Street 2:SUITE 1703
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77046-2401
Practice Address - Country:US
Practice Address - Phone:713-790-1330
Practice Address - Fax:713-961-5019
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-4430103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist