Hancock, Miriam

Hancock, Miriam is an individual health care provider with primary practice located at 1 Freedom Way Mental Health Service Line, Augusta GA 30904-6258. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hancock, Miriam can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Mental Health Service Line Augusta GA 30904-6258
Phone: (706) 733-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003227 Georgia

Profile Details

NPI number 1417056599
LBN Legal business name Hancock, Miriam
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Mar 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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