Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0810001824 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810001824 | VA |
NPI | 1003860271 |
---|---|
Provider Name | Ann Marie Elizabeth Hammond |
First Address | Virginia Beach, VA 23454-4324 |
Second Address | Virginia Beach, VA 23454-4324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
323485 | ANTHEM BCBS (01) | VA |
O87475 | SENTARA/OPTIMA HEALTHCARE (01) | VA |
S44087 | (02) | VA |