MEDICARE: DR. SCOTT BUTLER HAMILTON PSY.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
1	103TC0700X	Clinical Psychologist	PSY003584	GA
2	103T00000X	Psychologist	PSY003584	GA

General Provider Information

NPI Number	:	1205149481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT BUTLER HAMILTON PSY.D.

Provider Business Mailing Address
First Line	:	PO BOX 98172
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30359-1872
Country	:	US
Telephone Number	:	317-989-9799
Fax Number	:

Provider Business Practice Location Address
First Line	:	2426 CLAIRMONT RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3330
Country	:	US
Telephone Number	:	317-989-9799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2010
Last Update Date	:	02/11/2020

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