Individual
KAREN HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3538 E POWELL WAY, GILBERT, AZ 85298-4807
(480) 218-2289
Mailing address
3538 E POWELL WAY, GILBERT, AZ 85298-4807
(480) 218-2289
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005195
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336641505
AZ BLUE CROSS BLUE SHIELD
AZ
Enumeration date
03/05/2018
Last updated
03/15/2021
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