| David W Hamilton Psyd Pllc | |
|
550 Cascade West Pkwy Se Grand Rapids MI 49546-2137 | |
| (616) 930-4123 | |
| (616) 323-3994 |
| Full Name | David W Hamilton Psyd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 550 Cascade West Pkwy Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | David W Hamilton (PROVIDER) |
| Authorized Official Contact | 6169304123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David W Hamilton Psyd Pllc 4829 E Beltline Ave Ne Bldg 1, Suite 100 Grand Rapids MI 49525-9747 Ph: (616) 364-3301 | David W Hamilton Psyd Pllc 550 Cascade West Pkwy Se Grand Rapids MI 49546-2137 Ph: (616) 930-4123 |
| NPI Number | 1396030466 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 03/25/2019 |
| Medicare PECOS PAC ID | 2769634815 |
|---|---|
| Medicare Enrollment ID | O20121218000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396030466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301013050 (Michigan) | Primary |
| Provider Name | David W Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326008483 PECOS PAC ID: 7719068014 Enrollment ID: I20080411000639 |
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