M NAN HAWKES PHD MED PSYCH GROUP
Clinical Neuropsychologist
Germantown, Tennessee
Provider NPI: 1730190463
Organization Information:Organization Name: M NAN HAWKES PHD MED PSYCH GROUP
Organization is not Subpart
Authorized Official: MARTHA NAN HAWKES OWNER/SOLE PROPRIETOR 901-7513571
Practice Location:
7655 POPLAR AVE #365 GERMANTOWN, TN 38138 US
Tel: 901-751-3571 Fax: 901-751-3572
Business Mailing Address:
7655 POPLAR AVE #365 GERMANTOWN, TN 38138 US
Tel: 901-751-3571 Fax: 901-751-3572
Entity Type: Organization
Taxonomy:
Organization is not Subpart
Authorized Official: MARTHA NAN HAWKES OWNER/SOLE PROPRIETOR 901-7513571
Practice Location:
7655 POPLAR AVE #365 GERMANTOWN, TN 38138 US
Tel: 901-751-3571 Fax: 901-751-3572
Business Mailing Address:
7655 POPLAR AVE #365 GERMANTOWN, TN 38138 US
Tel: 901-751-3571 Fax: 901-751-3572
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist |