Provider Demographics
NPI:1023031630
Name:HAMILTON, JUDITH HOPE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:HOPE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 CHAPALA ST
Mailing Address - Street 2:STE 2
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3047
Mailing Address - Country:US
Mailing Address - Phone:805-560-8119
Mailing Address - Fax:
Practice Address - Street 1:1531 CHAPALA ST
Practice Address - Street 2:STE 2
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3047
Practice Address - Country:US
Practice Address - Phone:805-560-8119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10457103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP10457Medicare ID - Type Unspecified