Provider Demographics
NPI:1093774960
Name:CLAYMORE-LAHAMMER, VICKIE MICHELLE (PHD)
Entity Type:Individual
Prefix:
First Name:VICKIE
Middle Name:MICHELLE
Last Name:CLAYMORE-LAHAMMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 4TH AVE SE
Mailing Address - Street 2:DIVISION OF BEHAVIORAL HEALTH-IHS
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-4370
Mailing Address - Country:US
Mailing Address - Phone:605-226-7341
Mailing Address - Fax:605-226-7543
Practice Address - Street 1:115 4TH AVE SE
Practice Address - Street 2:DIVISION OF BEHAVIORAL HEALTH-IHS
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4370
Practice Address - Country:US
Practice Address - Phone:605-226-7341
Practice Address - Fax:605-226-7543
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005024717103TC0700X
NC2351103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical