Doctor Name: | DR. JOHN L HAWLEY |
NPI Number: | 1053452078 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 0810001126 |
Business Practice Address: | 6 Pidgeon Hill Dr Suite 260 Sterling, VA - 201656146 |
Business Phone Number: | 7038507300 |
Business Fax Number: | 7034309570 |
Mailing Address: | 202 Hawkins Ln, POTOMAC FALLS |
State: | VA |
Postal Code: | 201655827 |
Phone Number: | 7038507300 |
Fax Number: | 7034309570 |
NPI Enumeration Date: | 02/11/2007 |
NPI Last Update Date: | 04/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | 0810001126 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |