Healthcare Provider Details

I. General information

NPI: 1891982963
Provider Name (Legal Business Name): MARIA C. HAMMILL, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7474 GREENWAY CENTER DR SUITE 730
GREENBELT MD
20770-3504
US

IV. Provider business mailing address

7474 GREENWAY CENTER DR SUITE 730
GREENBELT MD
20770-3504
US

V. Phone/Fax

Practice location:
  • Phone: 301-982-3437
  • Fax: 301-934-9321
Mailing address:
  • Phone: 301-982-3437
  • Fax: 301-934-9321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberD0046677
License Number StateMD

VIII. Authorized Official

Name: MARIA C HAMMILL
Title or Position: CEO
Credential: MD
Phone: 301-982-3437