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Individual

DR. KEITH HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-7831
(203) 974-7881
Mailing address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 974-7831
(203) 974-7881

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1536
CT

Other

Enumeration date
11/06/2009
Last updated
11/06/2009
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