Provider Demographics
NPI:1497350573
Name:HAMDEN, RAYMOND H (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:H
Last Name:HAMDEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:264 HILLCREST DRIVE
Mailing Address - Street 2:BOULDER PARK
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740
Mailing Address - Country:US
Mailing Address - Phone:202-262-8800
Mailing Address - Fax:
Practice Address - Street 1:2020 PENNSYLVANIA AVENUE NW
Practice Address - Street 2:806
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006
Practice Address - Country:US
Practice Address - Phone:202-262-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1153103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist