NPI | 1457356487 |
---|---|
Other Name | CAROL M HAMMERBECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 26737) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01059001A) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2022-09-15 |