Individual
DR. TODD LEE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2339 CEDAR RDG, GREEN BAY, WI 54313-5700
(920) 497-6161
(920) 498-0476
Mailing address
301 SEMINOLE LN, GREEN BAY, WI 54313-4929
(920) 819-6877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2287-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39133500
—
WI
Enumeration date
02/26/2007
Last updated
07/08/2007
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