Doctor Name: | MISS COSETTE ANNETTE HAMPTON |
NPI Number: | 1215300272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 530 West 187 Street Just One Break Inc New York City, NY - 100331437 |
Business Phone Number: | 6093476256 |
Business Fax Number: | |
Mailing Address: | 530 West 187 Street, Just One Break Inc NEW YORK CITY |
State: | NY |
Postal Code: | 100331437 |
Phone Number: | 6093476256 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2015 |
NPI Last Update Date: | 11/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |