Provider Demographics
NPI:1114917184
Name:HAMILTON, LAURIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:
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 1:43 CAVE LN
Mailing Address - Street 2:'MOSTLY BETTER'
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9484
Mailing Address - Country:US
Mailing Address - Phone:828-687-8741
Mailing Address - Fax:828-687-8743
Practice Address - Street 1:30 CLAYTON ST
Practice Address - Street 2:MARKET STREET NEUROSCIENCE
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2424
Practice Address - Country:US
Practice Address - Phone:828-350-0477
Practice Address - Fax:828-350-0977
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPC 579101YP2500X
CAPSY 10112103TC0700X, 103TF0200X
NCMFT 520106H00000X
CAMFC 9293106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic