MEDICARE: DELANEY DABNEY-HAMMONS

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
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1831977149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELANEY DABNEY-HAMMONS

Provider Business Mailing Address
First Line	:	1611 S MELROSE DR # A189
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92081-5407
Country	:	US
Telephone Number	:	760-636-3939
Fax Number	:

Provider Business Practice Location Address
First Line	:	6160 MISSION GORGE RD STE 108
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-3425
Country	:	US
Telephone Number	:	619-481-5200
Fax Number	:

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

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	03/13/2026

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Directions to “ DELANEY DABNEY-HAMMONS ” Practice Location

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