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NPI Code Detail

MEDICARE: DR. KASEY HAMLIN-SMITH PHD

MEDICARE:  DR. KASEY  HAMLIN-SMITH  PHD
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 Psychologist766SC
2103TC2200XClinical Child & Adolescent PsychologistPY6270FL
3103TC2200XClinical Child & Adolescent Psychologist766SC

General Provider Information

NPI Number : 1538197686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KASEY HAMLIN-SMITH PHD
Provider Business Mailing Address
First Line : PO BOX 751461
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1461
Country : US
Telephone Number : 843-792-6200
Fax Number :
Provider Business Practice Location Address
First Line : 171 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29425-8903
Country : US
Telephone Number : 843-876-1516
Fax Number : 843-792-1516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 10/22/2020

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Directions to “ DR. KASEY HAMLIN-SMITH PHD” Practice Location

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