Individual
DR. FAWN D. HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1918 NW CORVETTE ST., WALDPORT, OR 97394
(541) 563-6649
Mailing address
1918 NW CORVETTE ST., P.O. BOX 303, WALDPORT, OR 97394-0303
(541) 563-6649
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1670
OR
103TC0700X
Clinical Psychologist
3269
OH
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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