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DR. WADE L HAMIL PHD

Clinical Neuropsychologist

Norman, Oklahoma

Provider NPI: 1750311247

Provider Information:
DR. WADE L HAMIL PHD
Gender: M
Not Sole Proprietor

Practice Location:
448 36TH AVE NW SUITE 101 NORMAN, OK 73072 US
Tel: 405-627-0276  Fax: 888-753-8162

Business Mailing Address:
3816 SHADOWRIDGE DR  NORMAN, OK 73072 US
Tel: 405-573-9905  Fax: 888-753-8162

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103T00000XBehavioral Health & Social Service Providers
Psychologist
OK785
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
OK785
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OK785

Other Provider Identifiers:

IssuerNumberStateType
100635990 DOK05
SELECTCARE OF OKLAHOMA20006OK01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS OK - Page 1



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