Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | LPC000471 | GA |
NPI | 1053422261 |
---|---|
Provider Name | James W Hamilton |
First Address | Atlanta, GA 30305-1717 |
Second Address | Tucker, GA 30084-7047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 13/01/2022 |