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NPI Code Detail

MEDICARE: LON HAMILTON JR. PH. D.

MEDICARE: LON HAMILTON JR. 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
1103T00000XPsychologistPRC608DC

General Provider Information

NPI Number : 1740424902
Entity Type Code : Individual
Provider Name (Legal Business Name) : LON HAMILTON JR. PH. D.
Provider Business Mailing Address
First Line : 6600 FURMAN CT
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-3009
Country : US
Telephone Number : 240-533-6657
Fax Number :
Provider Business Practice Location Address
First Line : 3502 18TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2738
Country : US
Telephone Number : 240-533-6657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2009
Last Update Date : 09/05/2022

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