Individual
JANET L HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
250 N ROCK RD, SUITE 365, WICHITA, KS 67206-2243
(316) 719-3875
(316) 719-3877
Mailing address
250 N ROCK RD, SUITE 365, WICHITA, KS 67206-2243
(316) 719-3875
(316) 719-3877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0863
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100355140A
—
KS
Enumeration date
07/21/2006
Last updated
10/23/2014
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