Provider Demographics
NPI:1063637247
Name:HAMM, SUZANNE MARGARET (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:MARGARET
Last Name:HAMM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3540 S POPLAR ST
Mailing Address - Street 2:#202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1360
Mailing Address - Country:US
Mailing Address - Phone:303-249-1847
Mailing Address - Fax:303-582-1661
Practice Address - Street 1:3540 S POPLAR ST
Practice Address - Street 2:#202
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1360
Practice Address - Country:US
Practice Address - Phone:303-249-1847
Practice Address - Fax:303-582-1661
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1356103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist