Individual
DR. DOUGLAS KENT HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
40 12TH ST, SUITE 202, WHEELING, WV 26003-3279
(304) 232-3464
(304) 232-3328
Mailing address
40 12TH ST, SUITE 202, WHEELING, WV 26003-3279
(304) 232-3464
(304) 232-3328
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
386
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163933000
—
WV
01
—
1102977
CIGNA BEHAVIOR HEALTH, IN
MN
01
—
Y00386
HEALTH PLAN UPPER OH VALL
OH
Enumeration date
12/04/2006
Last updated
07/08/2007
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