Doctor Name: | JAMES W HAMILTON |
NPI Number: | 1053422261 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | LPC000471 |
Business Practice Address: | 200 Crescent Centre Parkway Department Of Behavioral Health Tucker, GA - 30084 |
Business Phone Number: | 7704963609 |
Business Fax Number: | 7704963708 |
Mailing Address: | 3495 Piedmont Road Ne, Nine Piedmont Center ATLANTA |
State: | GA |
Postal Code: | 30305 |
Phone Number: | 4043647000 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | LPC000471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |