Doctor Name: | MR. ARCHY D HAMM |
NPI Number: | 1194859090 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 920 S. Vulture Mine Road Special Service Office Wickenburg, AZ - 85390 |
Business Phone Number: | 9286846714 |
Business Fax Number: | |
Mailing Address: | 520 S Ocotillo Dr, WICKENBURG |
State: | AZ |
Postal Code: | 853902329 |
Phone Number: | 9286846714 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |