Organization
M NAN HAWKES PHD MED PSYCH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA NAN HAWKES PH.D. (OWNER/SOLE PROPRIETOR)
(901) 751-3571
Entity
Organization
Contact information
Practice address
7655 POPLAR AVE, #365, GERMANTOWN, TN 38138-3995
(901) 751-3571
(901) 751-3572
Mailing address
7655 POPLAR AVE, #365, GERMANTOWN, TN 38138-3957
(901) 751-3571
(901) 751-3572
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
03/31/2015
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