Doctor Name: | MR. CHRIS C HAMM |
NPI Number: | 1043263429 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, ACSW |
License Number: | 34003714A |
Business Practice Address: | 6655 E Us Highway 36 Avon, IN - 461238923 |
Business Phone Number: | 3172723334 |
Business Fax Number: | 3172723331 |
Mailing Address: | 4825 Ossington Ct, INDIANAPOLIS |
State: | IN |
Postal Code: | 462544881 |
Phone Number: | 3173290777 |
Fax Number: | 3172723331 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 08/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34003714A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |