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Contact Information

MIRANDA G HAMELBERG, PSYCHOLOGIST
2005 KNIGHT LANE
BLDG H NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL32212
 Phone: 904-542-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MIRANDA G HAMELBERG · (Female)

NPI # 1427420942
Status Active
Credentials PSYCHOLOGIST
Entity Individual
Enumeration date 10/23/2015
Last updated 11/14/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0810005797
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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