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NPI Code Detail

MEDICARE: DR. KATHERINE LOUISE HAMILTON PH.D.

MEDICARE: DR. KATHERINE LOUISE HAMILTON 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
1103TC0700XClinical PsychologistPSY11744CA

General Provider Information

NPI Number : 1003973512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE LOUISE HAMILTON PH.D.
Provider Business Mailing Address
First Line : 1000 PASEO CAMARILLO
Second Line : SUITE 114
City : CAMARILLO
State : CA
Zip : 93010-6021
Country : US
Telephone Number : 805-389-4770
Fax Number : 805-389-4769
Provider Business Practice Location Address
First Line : 1000 PASEO CAMARILLO
Second Line : SUITE 114
City : CAMARILLO
State : CA
Zip : 93010-6021
Country : US
Telephone Number : 805-389-4770
Fax Number : 805-389-4769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 05/23/2016

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