Individual
DR. BRAD GORDON HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-5161
(520) 533-5246
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-5161
(520) 533-5246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3226
AZ
103T00000X
Psychologist
Primary
94-266379-2501
UT
103TC0700X
Clinical Psychologist
1483
HI
103TC0700X
Clinical Psychologist
2025
KS
Other
Enumeration date
06/05/2007
Last updated
09/11/2024
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