Individual
MRS. IRMA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD PSYCHOLOGY
Contact information
Practice address
419 CARROLL CANAL, VENICE, CA 90291
(310) 822-4125
(310) 578-2343
Mailing address
419 CARROLL CANAL, VENICE, CA 90291-4683
(310) 822-4125
(310) 578-2343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11748
CA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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