Hawthorne, Candace Susan

Hawthorne, Candace Susan is an sole proprietor health care provider with primary practice located at 373 Burrows St , Pittsburgh PA 15213-2201. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hawthorne, Candace Susan can be contacted via phone (412) 383-1555.

Contact Information

Primary practice address
373 Burrows St Pittsburgh PA 15213-2201
Phone: (412) 383-1555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OC000231L Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS017192 Pennsylvania

Profile Details

NPI number 1912039918
LBN Legal business name Hawthorne, Candace Susan
Credentials PHD, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Feb 7th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912039918 NPPES
Pennsylvania Other 01922084 MA PROVIDER NUMBER

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