Doctor Name: | BECKY HAMBLEN |
NPI Number: | 1013301878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLMSW |
License Number: | 6801097457 |
Business Practice Address: | 2775 E Lansing Dr East Lansing, MI - 488237755 |
Business Phone Number: | 5173321616 |
Business Fax Number: | 5173321538 |
Mailing Address: | 2775 E Lansing Dr, EAST LANSING |
State: | MI |
Postal Code: | 488237755 |
Phone Number: | 5173321616 |
Fax Number: | 5173321538 |
NPI Enumeration Date: | 03/19/2015 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801097457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |