Hampton Psychological Services Pllc | |
104 S Adelaide St Ste D Fenton MI 48430-2804 | |
(810) 201-4827 | |
(810) 626-4594 |
Full Name | Hampton Psychological Services Pllc |
---|---|
Speciality | Psychologist |
Location | 104 S Adelaide St Ste D, Fenton, Michigan |
Authorized Official Name and Position | Rebecca Hampton (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 8102014827 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hampton Psychological Services Pllc 104 S Adelaide St Ste D Fenton MI 48430-2804 Ph: () - | Hampton Psychological Services Pllc 104 S Adelaide St Ste D Fenton MI 48430-2804 Ph: (810) 201-4827 |
NPI Number | 1336722941 |
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Provider Enumeration Date | 05/02/2021 |
Last Update Date | 02/01/2024 |
Certification Date | 02/01/2024 |
Medicare PECOS PAC ID | 8729487830 |
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Medicare Enrollment ID | O20210521001717 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336722941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Rebecca Hampton |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245762509 PECOS PAC ID: 9032495171 Enrollment ID: I20170404001302 |
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