Provider Demographics
NPI:1811723182
Name:HAMPTON, MICHAL ADRIA (TMFT)
Entity type:Individual
Prefix:MS
First Name:MICHAL
Middle Name:ADRIA
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:TMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 COLLEGE COURT PL
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-4417
Mailing Address - Country:US
Mailing Address - Phone:319-321-4106
Mailing Address - Fax:
Practice Address - Street 1:421 E MARKET ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2628
Practice Address - Country:US
Practice Address - Phone:319-321-4106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA126036106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist