MEDICARE: DR. STEPHEN H HAMEL PH.D., ABPP

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	1703	NJ
2	103TC1900X	Counseling Psychologist	0810003873	VA
3	103TC0700X	Clinical Psychologist	0810003873	VA

General Provider Information

NPI Number	:	1770680332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN H HAMEL PH.D., ABPP

Provider Business Mailing Address
First Line	:	1 COLUMBUS CTR STE 600
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6760
Country	:	US
Telephone Number	:	757-961-3310
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 COLUMBUS CTR STE 600
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6760
Country	:	US
Telephone Number	:	757-961-3310
Fax Number	:

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	09/10/2021

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