Doctor Name: | WENDY E HAMMERLUN |
NPI Number: | 1336230697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LIMHP |
License Number: | 2697 |
Business Practice Address: | 121 W 9th St Suite C Cozad, NE - 691301739 |
Business Phone Number: | 3083250377 |
Business Fax Number: | 3087843351 |
Mailing Address: | Po Box 341, COZAD |
State: | NE |
Postal Code: | 691300341 |
Phone Number: | 3083250377 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2697 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |