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NPI Code Detail

MEDICARE: KENT GUENTHER HAMDORF PH.D.

MEDICARE: KENT GUENTHER HAMDORF PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist2997OH

General Provider Information

NPI Number : 1386691186
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENT GUENTHER HAMDORF PH.D.
Provider Business Mailing Address
First Line : 703 CAMDEN YARD CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-3492
Country : US
Telephone Number : 614-326-3595
Fax Number : 614-457-3656
Provider Business Practice Location Address
First Line : 4624 SAWMILL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2247
Country : US
Telephone Number : 614-459-4490
Fax Number : 614-457-3656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 07/08/2007

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