Provider Demographics
NPI:1457863920
Name:HAMILTON, STEPHANIE (MA,LPC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 STOCKPORT TPKE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:18439-4048
Mailing Address - Country:US
Mailing Address - Phone:484-633-7033
Mailing Address - Fax:
Practice Address - Street 1:315 STOCKPORT TPKE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:PA
Practice Address - Zip Code:18439-4048
Practice Address - Country:US
Practice Address - Phone:484-633-7033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009888101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty