Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YM0800X | Mental Health Counselor | 5834 | OK |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1336332568 |
---|---|
Provider Name | Ms. Amy Lauren Hampton |
First Address | Norman, OK 73069 |
Second Address | Okc, OK 73120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2007 |
Last Update Date | 11/02/2016 |