Provider Demographics
NPI:1922867332
Name:HAMPTON, COLBY LEE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:COLBY
Middle Name:LEE
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 STEWARTSTOWN RD APT T6
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-8054
Mailing Address - Country:US
Mailing Address - Phone:610-463-6953
Mailing Address - Fax:
Practice Address - Street 1:160 FAYETTE ST
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-0188
Practice Address - Country:US
Practice Address - Phone:304-381-3659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1316103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical