| Joanne M. Hamilton Psychologist A Professional Corporation | |
|
9968 Hibert St Ste 105 San Diego CA 92131-1036 | |
| (858) 693-3113 | |
| (858) 312-8460 |
| Full Name | Joanne M. Hamilton Psychologist A Professional Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 9968 Hibert St Ste 105, San Diego, California |
| Authorized Official Name and Position | Joanne Marie Hamilton (SOLE OWNER) |
| Authorized Official Contact | 8586933113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne M. Hamilton Psychologist A Professional Corporation 9968 Hibert St Ste 105 San Diego CA 92131-1036 Ph: (858) 693-3113 | Joanne M. Hamilton Psychologist A Professional Corporation 9968 Hibert St Ste 105 San Diego CA 92131-1036 Ph: (858) 693-3113 |
| NPI Number | 1144428467 |
|---|---|
| Provider Enumeration Date | 07/08/2007 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Medicare PECOS PAC ID | 5294827903 |
|---|---|
| Medicare Enrollment ID | O20070827000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144428467 | NPI | - | NPPES |
| 1649211178 | Other | CA | PRACTITIONER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 18998 (California) | Primary |
| Provider Name | Joanne M Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649211178 PECOS PAC ID: 6305840323 Enrollment ID: I20060906000330 |
| Provider Name | Kelly Lange |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124247226 PECOS PAC ID: 9739261512 Enrollment ID: I20080201000160 |
| Provider Name | John Bellone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205328192 PECOS PAC ID: 2365799137 Enrollment ID: I20180725000985 |
| Provider Name | Alexis Stanley-olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912315037 PECOS PAC ID: 7113269341 Enrollment ID: I20190508001810 |
| Provider Name | William Charles Hochbeger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568773877 PECOS PAC ID: 6406187863 Enrollment ID: I20191016001292 |
| Provider Name | Talia Rose Seider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366061707 PECOS PAC ID: 9133545643 Enrollment ID: I20200814000767 |
| Provider Name | Natalie Elvita Kurniadi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477808137 PECOS PAC ID: 8921499104 Enrollment ID: I20211222002156 |
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