Provider Demographics
NPI:1487250320
Name:HAMILTON, LAURA L (MA, DMIN)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:L
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MA, DMIN
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:L
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, DMIN
Mailing Address - Street 1:183 COVERED BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-8980
Mailing Address - Country:US
Mailing Address - Phone:717-342-7555
Mailing Address - Fax:
Practice Address - Street 1:183 COVERED BRIDGE RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-8980
Practice Address - Country:US
Practice Address - Phone:717-342-7555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral