Provider Demographics
NPI:1275856601
Name:HAMLETT, DANNA SUZANNE (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:DANNA
Middle Name:SUZANNE
Last Name:HAMLETT
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:DANNA
Other - Middle Name:SUZANNE
Other - Last Name:MOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:619 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53508-9188
Mailing Address - Country:US
Mailing Address - Phone:606-424-9100
Mailing Address - Fax:608-424-9099
Practice Address - Street 1:619 RIVER ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53508-9188
Practice Address - Country:US
Practice Address - Phone:606-424-9100
Practice Address - Fax:608-424-9099
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI833-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist