Provider Demographics
NPI:1497231872
Name:HAMLETT, NAKIA MAUREEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:NAKIA
Middle Name:MAUREEN
Last Name:HAMLETT
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:PO BOX 2394
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-0033
Mailing Address - Country:US
Mailing Address - Phone:203-772-9251
Mailing Address - Fax:
Practice Address - Street 1:48 JACKSON ST APT 2
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-2529
Practice Address - Country:US
Practice Address - Phone:203-772-9251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003205103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical