Hamlin, Jaclyn

Hamlin, Jaclyn is an individual health care provider with primary practice located at 25501 Van Dyke Ave Lifeline Psychiatric Services, Center Line MI 48015-1208. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hamlin, Jaclyn can be contacted via phone (586) 755-8911.

Contact Information

Primary practice address
25501 Van Dyke Ave Lifeline Psychiatric Services Center Line MI 48015-1208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301016375 Michigan

Profile Details

NPI number 1821460270
LBN Legal business name Hamlin, Jaclyn
Credentials M.S.C.P, TLLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2015
Last updated Oct 30th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821460270 NPPES
Michigan Other 13642807 CAQH
Michigan Other 630106375 CAQH

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