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Individual

DR. RICKY D. HAWKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D.

Contact information

Practice address
5677 S 1475 E, SUITE 4A, OGDEN, UT 84403-7032
(801) 621-6032
(801) 409-0905
Mailing address
2730 N 850 E, NORTH OGDEN, UT 84414-2414
(801) 782-3551
(801) 782-3551

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
115258-2501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
87-0549642
SIN
UT
Enumeration date
12/15/2009
Last updated
12/15/2009
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