Individual
COLLEEN N. HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 IRVING ST NW, SUITE 2A38, WASHINGTON, DC 20010-2976
(202) 877-7000
Mailing address
110 IRVING ST NW, SUITE 2A38, WASHINGTON, DC 20010-2976
(202) 877-7000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD31314
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010003610
—
VA
05
—
027418800
—
DC
05
—
293602001
—
MD
Enumeration date
05/24/2006
Last updated
01/20/2010
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