Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 4972 | TX |
NPI | 1326242454 |
---|---|
Provider Name | Dr. Marilyn Hamilton |
First Address | Houston, TX 77021-3624 |
Second Address | Houston, TX 77087-1126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 08/07/2007 |