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NPI Code Detail

MEDICARE: MS. CANDICE MARIE HAMMOND

MEDICARE: MS. CANDICE MARIE HAMMOND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1407103625
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CANDICE MARIE HAMMOND
Provider Business Mailing Address
First Line : 4 BARKER ST UNIT C
Second Line :
City : PLAISTOW
State : NH
Zip : 03865-2790
Country : US
Telephone Number : 603-303-2077
Fax Number :
Provider Business Practice Location Address
First Line : 370 MERRIMACK ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01843-1788
Country : US
Telephone Number : 978-620-0290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2012
Last Update Date : 04/15/2026

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Directions to “ MS. CANDICE MARIE HAMMOND ” Practice Location

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