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NPI Code Detail

MEDICARE: CHRISTOPHER T HUMMEL PSYD

MEDICARE: CHRISTOPHER T HUMMEL PSYD
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
1103TC0700XClinical Psychologist0810003312VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1089084MOTHERVASENTARA
2103747OTHERVAANTHEM

General Provider Information

NPI Number : 1114911542
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER T HUMMEL PSYD
Provider Business Mailing Address
First Line : 3300 ACADEMY AVE
Second Line : ACADEMY CROSSING MEDICAL PLAZA
City : PORTSMOUTH
State : VA
Zip : 23703-3205
Country : US
Telephone Number : 757-483-6404
Fax Number : 757-483-0737
Provider Business Practice Location Address
First Line : 3300 ACADEMY AVE
Second Line : ACADEMY CROSSING MEDICAL PLAZA
City : PORTSMOUTH
State : VA
Zip : 23703-3205
Country : US
Telephone Number : 757-483-6404
Fax Number : 757-483-0737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 07/08/2007

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Directions to “ CHRISTOPHER T HUMMEL PSYD” Practice Location

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