Individual
DR. DIETRA DIONE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
319 PECK ST BLDG 6 # C1, NEW HAVEN, CT 06513-2953
(203) 764-7590
Mailing address
1418 ASPEN GLEN DR, HAMDEN, CT 06518-5301
(203) 776-8390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002717
CT
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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