MEDICARE: WENDY K HAMMOND LMFT

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
1	106H00000X	Marriage & Family Therapist	MFC40342	CA

General Provider Information

NPI Number	:	1487785739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY K HAMMOND LMFT

Provider Business Mailing Address
First Line	:	3101 GLENDALE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1805
Country	:	US
Telephone Number	:	818-486-6306
Fax Number	:

Provider Business Practice Location Address
First Line	:	3315 GLENDALE BLVD
Second Line	:	SUITE 4
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1812
Country	:	US
Telephone Number	:	818-486-6306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	12/12/2018

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