Provider Demographics
NPI:1710581954
Name:HAMLIN, CAROLINE (MS)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 NASSAU ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-2229
Mailing Address - Country:US
Mailing Address - Phone:607-201-9512
Mailing Address - Fax:
Practice Address - Street 1:46 NASSAU ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-2229
Practice Address - Country:US
Practice Address - Phone:607-201-9512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health