Organization
DARYL K. HAMBLIN, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL K HAMBLIN PH.D. (OWNER)
(334) 288-9009
Entity
Organization
Contact information
Practice address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(334) 288-9009
(334) 288-9497
Mailing address
1040 LONGFIELD CT, MONTGOMERY, AL 36117-8055
(334) 288-9009
(334) 288-9497
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167688600
OWCP PROVIDER NUMBER
AL
01
—
K871
MEDICARE GROUP NUMBER
AL
Enumeration date
07/02/2006
Last updated
06/10/2008
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