Provider Demographics
NPI:1285352591
Name:HAWES, SOPHIA SEAY
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:SEAY
Last Name:HAWES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 SOUTH ST STE C4
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4197
Mailing Address - Country:US
Mailing Address - Phone:914-400-5538
Mailing Address - Fax:
Practice Address - Street 1:748 MORRIS TPKE STE 200
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2623
Practice Address - Country:US
Practice Address - Phone:973-998-1284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-21-49464103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst