Individual
MR. EVAN ROBERT HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCGC
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2920
Mailing address
340 N FRONT ST APT A, PHILADELPHIA, PA 19106-1302
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
000397
PA
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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