Individual
DR. JOHN L HAWLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6 PIDGEON HILL DR, SUITE 260, STERLING, VA 20165-6146
(703) 850-7300
(703) 430-9570
Mailing address
202 HAWKINS LN, POTOMAC FALLS, VA 20165-5827
(703) 850-7300
(703) 430-9570
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0810001126
VA
103TC0700X
Clinical Psychologist
Primary
0810001126
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810001126
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214975
ANTHEM BCBS
VA
01
—
452614
MAMSI UNITEDHEALTHCARE
VA
05
—
7713649
—
VA
Enumeration date
02/11/2007
Last updated
11/10/2023
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