Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 965 | MN |
NPI | 1033504550 |
---|---|
Provider Name | Mrs. Brittany Lee Hamann |
First Address | Glenwood, MN 56334-1226 |
Second Address | Glenwood, MN 56334-1226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2015 |
Last Update Date | 07/05/2021 |