Doctor Name: | MRS. DIANE S HAWLEY |
NPI Number: | 1568500429 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN, RN, MA, LPCC |
License Number: | |
Business Practice Address: | 2456 Penry Rd Radnor, OH - 430669773 |
Business Phone Number: | 7409729805 |
Business Fax Number: | |
Mailing Address: | 2456 Penry Rd, RADNOR |
State: | OH |
Postal Code: | 430669773 |
Phone Number: | 7409729805 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 11/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |