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NPI Code Detail

MEDICARE: KATY HAMILTONLMHC, LTD

MEDICARE: KATY HAMILTONLMHC, LTD
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1013542257
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATY HAMILTONLMHC, LTD
Provider Business Mailing Address
First Line : 168 MYRTLE ST
Second Line :
City : HANOVER
State : MA
Zip : 02339-2526
Country : US
Telephone Number : 781-812-7376
Fax Number :
Provider Business Practice Location Address
First Line : 2048 WASHINGTON ST
Second Line :
City : HANOVER
State : MA
Zip : 02339-1658
Country : US
Telephone Number : 781-792-0202
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KATY HAMILTON
Credential : LMHC
Telephone Number : 781-812-7376
Provider Enumeration Date : 03/09/2020
Last Update Date : 03/09/2020

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