Provider Demographics
NPI:1245545730
Name:HAMILTON, WILLIAM SCHUYLER LAWRENCE (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SCHUYLER LAWRENCE
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2424
Mailing Address - Country:US
Mailing Address - Phone:828-423-0537
Mailing Address - Fax:828-333-4362
Practice Address - Street 1:30 CLAYTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2424
Practice Address - Country:US
Practice Address - Phone:828-423-0537
Practice Address - Fax:828-333-4362
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4183103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6001348Medicaid
NC6001348Medicaid