Organization
HAWKINS PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ANN HAWKINS PSY.D. (OWNER/CLINICAL PSYCHOLOGIST)
(757) 718-3613
Entity
Organization
Contact information
Practice address
5272 LYNGATE CT STE 201, BURKE, VA 22015-1688
(757) 718-3613
Mailing address
5272 LYNGATE CT STE 201, BURKE, VA 22015-1688
(757) 267-9482
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366591562
—
VA
Enumeration date
09/12/2018
Last updated
05/10/2019
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