Doctor Name: | DR. PAUL ROBERT HAMILTON |
NPI Number: | 1073695474 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 2471-057 |
Business Practice Address: | W156n8327 Pilgrim Rd Suite 302 Menomonee Falls, WI - 530513776 |
Business Phone Number: | 2622511112 |
Business Fax Number: | 2622511113 |
Mailing Address: | W156n8327 Pilgrim Rd, Suite 302 MENOMONEE FALLS |
State: | WI |
Postal Code: | 530513776 |
Phone Number: | 2622511112 |
Fax Number: | 2622511113 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 2471-057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |