=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861608879
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATE C HAMMATT PSYD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 970 N KALAHEO AVE SUITE A219
-----------------------------------------------------
City | KAILUA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96734-2725
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-778-3422
-----------------------------------------------------
Fax | 808-261-4608
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 49 S KALAHEO AVE
-----------------------------------------------------
City | KAILUA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96734-2725
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-261-8293
-----------------------------------------------------
Fax | 808-261-4608
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | 837
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------