Provider Demographics
NPI:1841576196
Name:HAMPTON, PAULA DENISE
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:DENISE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MASTERS
Mailing Address - Street 1:3430 QUICKSILVER LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-9524
Mailing Address - Country:US
Mailing Address - Phone:270-484-0400
Mailing Address - Fax:270-439-1157
Practice Address - Street 1:3430 QUICKSILVER LN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-9524
Practice Address - Country:US
Practice Address - Phone:270-484-0400
Practice Address - Fax:270-439-1157
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor