Healthcare Provider Details

I. General information

NPI: 1811207269
Provider Name (Legal Business Name): RONALD JAY HAMER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 07/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINNACLE PL
ALBANY NY
12203-3496
US

IV. Provider business mailing address

1 PINNACLE PL
ALBANY NY
12203-3496
US

V. Phone/Fax

Practice location:
  • Phone: 518-689-0244
  • Fax: 518-689-0244
Mailing address:
  • Phone: 518-689-0244
  • Fax: 518-689-0244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number013634
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: