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NPI Code Detail

MEDICARE: HUGH J. HAMMANT

MEDICARE: HUGH J. HAMMANT
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
1103T00000XPsychologist1179NM

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NMB2502OTHERNMMEDICARE PTAN

General Provider Information

NPI Number : 1194190181
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUGH J. HAMMANT
Provider Business Mailing Address
First Line : 1307 ARNOLD PALMER CT
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-3902
Country : US
Telephone Number : 585-455-7160
Fax Number :
Provider Business Practice Location Address
First Line : 1307 ARNOLD PALMER CT
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-3902
Country : US
Telephone Number : 585-455-7160
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. HUGH J HAMMANT
Credential : PH.D.
Telephone Number : 530-521-5610
Provider Enumeration Date : 12/02/2015
Last Update Date : 12/02/2015

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