1336207943 NPI number — MS. ELIZABETH H HAMLINK LPC MA

Table of content: MS. ELIZABETH H HAMLINK LPC MA (NPI 1336207943)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336207943 NPI number — MS. ELIZABETH H HAMLINK LPC MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMLINK
Provider First Name:
ELIZABETH
Provider Middle Name:
H
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LPC MA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WINTERS
Provider Other First Name:
ELIZABETH
Provider Other Middle Name:
H
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC MA
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1336207943
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15142 RUGGED LARK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85739
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-226-8424
Provider Business Mailing Address Fax Number:
520-326-8669

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3131 N COUNTRY CLUB
Provider Second Line Business Practice Location Address:
#201
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-326-8424
Provider Business Practice Location Address Fax Number:
520-326-8669
Provider Enumeration Date:
12/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  LPC 0550 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 622797 . This is a "ACHSS" identifier . This identifiers is of the category "OTHER".




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