Healthcare Provider Details

I. General information

NPI: 1659207868
Provider Name (Legal Business Name): BRANDON HAMPTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 E MAIN ST
AMANDA OH
43102-9330
US

IV. Provider business mailing address

1648 DEVLIN CT UNIT 306
LANCASTER OH
43130-1382
US

V. Phone/Fax

Practice location:
  • Phone: 740-969-7251
  • Fax:
Mailing address:
  • Phone: 304-573-3717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: