Provider Demographics
NPI:1215449475
Name:HAWKINS, BLENDINE P (PH D, LMFT)
Entity type:Individual
Prefix:DR
First Name:BLENDINE
Middle Name:P
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PH D, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 HAUSTEN ST APT C5
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-3040
Mailing Address - Country:US
Mailing Address - Phone:808-349-6649
Mailing Address - Fax:
Practice Address - Street 1:1600 KAPIOLANI BLVD STE 1340
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3806
Practice Address - Country:US
Practice Address - Phone:808-349-6649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI531106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist