M Nan Hawkes PHD Med Psych Group
NPI #1730190463 in Germantown, Tennessee
Provider Information
- NPI Number
- 1730190463
- Entity Type
- Organization
- Organization Name
- M Nan Hawkes PHD Med Psych Group
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Mar 31, 2015
Practice Location
- Address
- 7655 POPLAR AVE
- Address 2
- #365
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138-3995
- Phone
- (901) 751-3571
Authorized Official
- Name
- DR. MARTHA NAN HAWKES, PH.D.
- Title
- OWNER/SOLE PROPRIETOR
- Phone
- (901) 751-3571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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