Provider Demographics
NPI:1619228533
Name:DR. TIMOTHY J. HAMWAY LLC
Entity Type:Organization
Organization Name:DR. TIMOTHY J. HAMWAY LLC
Other - Org Name:HAMWAY PSYCH ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HAMWAY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:908-789-2840
Mailing Address - Street 1:226 SAINT PAUL ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2100
Mailing Address - Country:US
Mailing Address - Phone:908-789-2840
Mailing Address - Fax:
Practice Address - Street 1:226 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2100
Practice Address - Country:US
Practice Address - Phone:908-789-2840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100258800103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty