Doctor Name: | DARLA SCHMIDT HAMILTON |
NPI Number: | 1336245497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, LPC. LADC |
License Number: | 218966L |
Business Practice Address: | 225 W Mcclure Ave Ste 3 Pauls Valley, OK - 730753823 |
Business Phone Number: | 4052384592 |
Business Fax Number: | 4052387653 |
Mailing Address: | 225 W Mcclure Ave, Ste 3 PAULS VALLEY |
State: | OK |
Postal Code: | 730753823 |
Phone Number: | 4052384592 |
Fax Number: | 4052387653 |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 218966L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |