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NPI Code Detail

MEDICARE: CHLOE HAMMERNIK

MEDICARE: CHLOE HAMMERNIK
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
1101Y00000XCounselor
2106S00000XBehavior TechnicianRBT-19-104412AZ

General Provider Information

NPI Number : 1073977724
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHLOE HAMMERNIK
Provider Business Mailing Address
First Line : 4170 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5469
Country : US
Telephone Number : 480-751-1957
Fax Number : 832-383-8823
Provider Business Practice Location Address
First Line : 4170 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5469
Country : US
Telephone Number : 480-751-1957
Fax Number : 832-383-8823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 01/29/2020

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Directions to “ CHLOE HAMMERNIK ” Practice Location

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