Individual
DR. WADE L HAMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
448 36TH AVE NW, SUITE 101, NORMAN, OK 73072-4746
(405) 627-0276
(888) 753-8162
Mailing address
3816 SHADOWRIDGE DR, NORMAN, OK 73072-5308
(405) 573-9905
(888) 753-8162
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
785
OK
103T00000X
Psychologist
785
OK
103TC0700X
Clinical Psychologist
785
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100635990 D
—
OK
01
—
20006
SELECTCARE OF OKLAHOMA
OK
Enumeration date
07/03/2006
Last updated
10/30/2012
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