Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY27033 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY27033 | CA |
NPI | 1003246240 |
---|---|
Provider Name | Meghan Hammel |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-8218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2013 |
Last Update Date | 26/09/2017 |