Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 2419 | KS |
NPI | 1033458559 |
---|---|
Provider Name | Heather Ann Hamilton |
First Address | Wichita, KS 67203-3602 |
Second Address | Wichita, KS 67203-2117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2013 |
Last Update Date | 04/02/2013 |