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NPI Code Detail

MEDICARE: DR. D. CORYDON HAMMOND PH.D.

MEDICARE: DR. D. CORYDON HAMMOND PH.D.
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 Psychologist107195-2501UT

General Provider Information

NPI Number : 1972645000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. D. CORYDON HAMMOND PH.D.
Provider Business Mailing Address
First Line : UNIVERSITY MEDICAL CENTER PMR
Second Line : 30 NO. 1900 EAST
City : SALT LAKE CITY
State : UT
Zip : 84132-2119
Country : US
Telephone Number : 801-581-5741
Fax Number :
Provider Business Practice Location Address
First Line : UNIVERSITY MEDICAL CENTER PMR
Second Line : 30 NO. 1900 EAST
City : SALT LAKE CITY
State : UT
Zip : 84132-2119
Country : US
Telephone Number : 801-581-5741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/08/2007

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