Provider Demographics
NPI:1508834235
Name:BIEL-HAMILTON, MARCIA A (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:A
Last Name:BIEL-HAMILTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:A
Other - Last Name:BIEL-HAMILTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8301 STATE LINE RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2025
Mailing Address - Country:US
Mailing Address - Phone:816-361-2877
Mailing Address - Fax:816-926-1038
Practice Address - Street 1:8301 STATE LINE ROAD
Practice Address - Street 2:SUITE 208
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114
Practice Address - Country:US
Practice Address - Phone:816-361-2877
Practice Address - Fax:816-926-1038
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY00693103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
0002237Medicare UPIN