Individual
DR. MIRANDA GRACE HAMELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
2005 KNIGHT LANE, BLDG H NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212
(904) 542-7200
Mailing address
3850 WEATHERSTONE CIR, PENSACOLA, FL 32507-1422
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005797
VA
Other
Enumeration date
10/23/2015
Last updated
11/14/2017
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