NPI Code Details Logo

NPI 1306242938

NPI 1306242938 : ALAINA BREITBERG HAMMOND PSYD : ATLANTA, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1306242938
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALAINA BREITBERG HAMMOND PSYD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/10/2014
-----------------------------------------------------
    Last Update Date     |    11/20/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2020 PEACHTREE RD NW 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30309-1465
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-350-7601
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2020 PEACHTREE RD NW 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30309-1465
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    404-350-7601
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TR0400X
-----------------------------------------------------
    Taxonomy Name        |    Rehabilitation Psychologist
-----------------------------------------------------
    License Number       |    3375
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TR0400X
-----------------------------------------------------
    Taxonomy Name        |    Rehabilitation Psychologist
-----------------------------------------------------
    License Number       |    PSY 9066
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103TR0400X
-----------------------------------------------------
    Taxonomy Name        |    Rehabilitation Psychologist
-----------------------------------------------------
    License Number       |    022953-01
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.