| Doctor Name: | ELLEN HAMMERLE |
| NPI Number: | 1063689461 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., MFT |
| License Number: | MFC 32398 |
| Business Practice Address: | 600 Miller Ave Mill Valley, CA - 949412990 |
| Business Phone Number: | 4153896448 |
| Business Fax Number: | 4153896650 |
| Mailing Address: | 600 Miller Ave, MILL VALLEY |
| State: | CA |
| Postal Code: | 949412990 |
| Phone Number: | 4153896448 |
| Fax Number: | 4153896650 |
| NPI Enumeration Date: | 05/14/2008 |
| NPI Last Update Date: | 05/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFC 32398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |