MEDICARE: HAMILTON MENTAL HEALTH SERVICES

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1437863164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMILTON MENTAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	522 ALT 19 STE 1
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-4431
Country	:	US
Telephone Number	:	610-716-1202
Fax Number	:

Provider Business Practice Location Address
First Line	:	522 ALT 19 STE 1
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-4431
Country	:	US
Telephone Number	:	610-716-1202
Fax Number	:

Authorized Official
Title or Position	:	FNP/PMHNP
Name	:	NOEL PATRICK HAMILTON
Credential	:	APRN
Telephone Number	:	610-716-1202

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	01/09/2023

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