Doctor Name: | LAURA HAMMOND |
NPI Number: | 1033455563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4612 |
Business Practice Address: | 801 N Hamilton St Williamston, SC - 296971061 |
Business Phone Number: | 8648477344 |
Business Fax Number: | 8648473543 |
Mailing Address: | 607 E Fifth St, SWANSEA |
State: | SC |
Postal Code: | 291609702 |
Phone Number: | 8035681000 |
Fax Number: | 8035681081 |
NPI Enumeration Date: | 01/03/2013 |
NPI Last Update Date: | 01/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 4612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |