Provider Demographics
NPI:1992254221
Name:HAMILL, REBECCA
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HAMILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 E 430 RD
Mailing Address - Street 2:
Mailing Address - City:ADAIR
Mailing Address - State:OK
Mailing Address - Zip Code:74330-3018
Mailing Address - Country:US
Mailing Address - Phone:918-373-3567
Mailing Address - Fax:
Practice Address - Street 1:1019 E 430 RD
Practice Address - Street 2:
Practice Address - City:ADAIR
Practice Address - State:OK
Practice Address - Zip Code:74330-3018
Practice Address - Country:US
Practice Address - Phone:918-373-3567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker