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NPI Code Detail

MEDICARE: DR. PAUL ROBERT HAMILTON PH.D.

MEDICARE:  DR. PAUL ROBERT 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
1103TC1900XCounseling Psychologist2471-057WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073695474
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL ROBERT HAMILTON PH.D.
Provider Business Mailing Address
First Line : W156N8327 PILGRIM RD
Second Line : SUITE 302
City : MENOMONEE FALLS
State : WI
Zip : 53051-3776
Country : US
Telephone Number : 262-251-1112
Fax Number : 262-251-1113
Provider Business Practice Location Address
First Line : W156N8327 PILGRIM RD
Second Line : SUITE 302
City : MENOMONEE FALLS
State : WI
Zip : 53051-3776
Country : US
Telephone Number : 262-251-1112
Fax Number : 262-251-1113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL ROBERT HAMILTON PH.D.” Practice Location

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