Provider Demographics
NPI:1225658602
Name:HAMMOND, ANDREA PAQUETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:PAQUETTE
Last Name:HAMMOND
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 1:295 BENNETT RD
Mailing Address - Street 2:
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242-3580
Mailing Address - Country:US
Mailing Address - Phone:603-748-3608
Mailing Address - Fax:
Practice Address - Street 1:209 ACADEMY RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NH
Practice Address - Zip Code:03275-1345
Practice Address - Country:US
Practice Address - Phone:603-748-3608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-25
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty