MEDICARE: DR. PATRICIA YVONNE HAMILTON LPC PSYD

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	101YP2500X	Professional Counselor	1232	AL

General Provider Information

NPI Number	:	1528106341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA YVONNE HAMILTON LPC PSYD

Provider Business Mailing Address
First Line	:	1540 CENTER POINT PKWAY
Second Line	:	SUITE 102
City	:	BIRMINGHAM
State	:	AL
Zip	:	35125
Country	:	US
Telephone Number	:	205-520-5460
Fax Number	:	205-520-9517

Provider Business Practice Location Address
First Line	:	1540 CENTER POINT PKWAY
Second Line	:	SUITE 102
City	:	BIRMINGHAM
State	:	AL
Zip	:	35125
Country	:	US
Telephone Number	:	205-520-5460
Fax Number	:	205-520-9517

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

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/08/2007

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