| |
227 Golden Rock Office 1 Christianstec VI 00821 | |
(340) 474-0057 | |
Not Available |
Full Name | |
---|---|
Speciality | Psychologist |
Location | 227 Golden Rock Office 1, Christianstec, Virgin Island |
Authorized Official Name and Position | Dara Hamilton (PSYCHOLOGIST) |
Authorized Official Contact | 3402270204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 24603 Christiansted VI 00824-0603 Ph: (340) 474-0057 | 227 Golden Rock Office 1 Christianstec VI 00821 Ph: (340) 474-0057 |
NPI Number | 1720504822 |
---|---|
Provider Enumeration Date | 08/21/2017 |
Last Update Date | 08/21/2017 |
Medicare PECOS PAC ID | 9335557396 |
---|---|
Medicare Enrollment ID | O20210413000943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720504822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 07-024-PSY (Virgin Island) | Primary |
Provider Name | Dara Hamilton |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548690225 PECOS PAC ID: 0244648202 Enrollment ID: I20210428001565 |