Provider Demographics
NPI:1992493431
Name:HAMPLE, WILLIAM PAUL (LCADC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PAUL
Last Name:HAMPLE
Suffix:
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18114 CUB CIR
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-8012
Mailing Address - Country:US
Mailing Address - Phone:570-905-4290
Mailing Address - Fax:856-751-4210
Practice Address - Street 1:1060 KINGS HWY N
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1910
Practice Address - Country:US
Practice Address - Phone:570-905-4290
Practice Address - Fax:856-751-4210
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
NJ37LC00033200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral