MEDICARE: NANCY ANN HAMILTON BA

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	101YM0800X	Mental Health Counselor	PC005535	PA

General Provider Information

NPI Number	:	1629084512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY ANN HAMILTON BA

Provider Business Mailing Address
First Line	:	402 W 6TH AVE
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-3538
Country	:	US
Telephone Number	:	412-672-5320
Fax Number	:

Provider Business Practice Location Address
First Line	:	1945 LINCOLN WAY
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-2401
Country	:	US
Telephone Number	:	412-678-0477
Fax Number	:

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/11/2011

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