Provider Demographics
NPI:1528106341
Name:HAMILTON, PATRICIA YVONNE (LPC PSYD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:YVONNE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LPC PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 CENTER POINT PKWAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35125
Mailing Address - Country:US
Mailing Address - Phone:205-520-5460
Mailing Address - Fax:205-520-9517
Practice Address - Street 1:1540 CENTER POINT PKWAY
Practice Address - Street 2:SUITE 102
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35125
Practice Address - Country:US
Practice Address - Phone:205-520-5460
Practice Address - Fax:205-520-9517
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1232101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional