Mark Theodore Hamilton
Psychologist
1530 Nichols Rd
Kalamazoo
, Michigan 49006-2065
Mark Theodore Hamilton
Psychologist
1530 Nichols Rd
Kalamazoo
, Michigan 49006-2065
(616) 455-5000
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Mark Theodore Hamilton
- 300 68th St Se
- Grand Rapids, MI
- Zip : 49548-6927
- Phone : (616) 455-5000
Second Address
- Mark Theodore Hamilton
- 1530 Nichols Rd
- Kalamazoo, MI
- Zip : 49006-2065
- Phone : (269) 343-6700
Reviews
FAQs
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What type of doctor is Mark Theodore Hamilton
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Is Mark Theodore Hamilton a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 6301009792 | MI |
| Y | 103T00000X | Psychologist | 6301009792 | MI |
National Provider Identifier
| NPI | 1003845314 |
|---|---|
| Provider Name | Mark Theodore Hamilton |
| First Address | Grand Rapids, MI 49548-6927 |
| Second Address | Kalamazoo, MI 49006-2065 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BC/BS | P10D11275 (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.