Organization Name: | HOWARD HAMMER, PSY. D., PA |
NPI Number: | 1083017958 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD HAMMER (OWNER) |
Mailing Address: | 1138 E Chestnut Ave Ste 6b Vineland |
State: | NJ US |
Postal Code: | 083605053 |
Phone Number: | 8566911511 |
Fax Number: | 8566918511 |
NPI Enumeration Date: | 10/06/2014 |
NPI Last Update Date: | 10/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |