| M Nan Hawkes Phd Med Psych Group | |
|
7655 Poplar Ave #365 Germantown TN 38138-3995 | |
| (901) 751-3571 | |
| (901) 751-3572 |
| Full Name | M Nan Hawkes Phd Med Psych Group |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 7655 Poplar Ave, Germantown, Tennessee |
| Authorized Official Name and Position | Martha Nan Hawkes (OWNER/SOLE PROPRIETOR) |
| Authorized Official Contact | 9017513571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Nan Hawkes Phd Med Psych Group 7655 Poplar Ave #365 Germantown TN 38138-3957 Ph: (901) 751-3571 | M Nan Hawkes Phd Med Psych Group 7655 Poplar Ave #365 Germantown TN 38138-3995 Ph: (901) 751-3571 |
| NPI Number | 1730190463 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730190463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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