Doctor Name: | STEPHEN HAMMOND |
NPI Number: | 1164815767 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | APC004667 |
Business Practice Address: | 4600 Cobb Parkway North Nw Acworth, GA - 301014145 |
Business Phone Number: | 6783268937 |
Business Fax Number: | |
Mailing Address: | 8600 Academy Rd Ne, ALBUQUERQUE |
State: | NM |
Postal Code: | 871111107 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/06/2015 |
NPI Last Update Date: | 03/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | APC004667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |