Svhl | |
204 Birchwood Lane Sevierville TN 37862 | |
(865) 556-3474 | |
(865) 525-7494 |
Full Name | Svhl |
---|---|
Speciality | Psychologist |
Location | 204 Birchwood Lane, Sevierville, Tennessee |
Authorized Official Name and Position | Shana Valere Hamilton (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 8655563474 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Svhl 204 Birchwood Lane Sevierville TN 37862 Ph: (865) 556-3474 | Svhl 204 Birchwood Lane Sevierville TN 37862 Ph: (865) 556-3474 |
NPI Number | 1639415565 |
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Provider Enumeration Date | 12/21/2012 |
Last Update Date | 08/28/2024 |
Medicare PECOS PAC ID | 6305081886 |
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Medicare Enrollment ID | O20130404000341 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639415565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | P2839 (Tennessee) | Primary |
Provider Name | Shana V Hamilton-lockwood |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1487815437 PECOS PAC ID: 2961577937 Enrollment ID: I20080826000726 |
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