| Roy Hamilton, Ph.d., Pllc | |
|
1107 W Market St Greensboro NC 27403-1829 | |
| (518) 730-1875 | |
| Not Available |
| Full Name | Roy Hamilton, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1107 W Market St, Greensboro, North Carolina |
| Authorized Official Name and Position | Roy Hamilton (OWNER) |
| Authorized Official Contact | 5187301875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy Hamilton, Ph.d., Pllc 4009 Ridgedale Dr Greensboro NC 27455-9206 Ph: (518) 730-1875 | Roy Hamilton, Ph.d., Pllc 1107 W Market St Greensboro NC 27403-1829 Ph: (518) 730-1875 |
| NPI Number | 1578270542 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Medicare PECOS PAC ID | 4284094418 |
|---|---|
| Medicare Enrollment ID | O20230719001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578270542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Roy Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093436065 PECOS PAC ID: 5193185320 Enrollment ID: I20230719001310 |
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