Provider Demographics
NPI:1144671843
Name:HAWKINS, THOMAS JOEL (PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOEL
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 SACKETTS CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3113
Mailing Address - Country:US
Mailing Address - Phone:719-761-2519
Mailing Address - Fax:
Practice Address - Street 1:751 SACKETTS CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-3113
Practice Address - Country:US
Practice Address - Phone:719-761-2519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral