Provider Demographics
NPI:1356089205
Name:HAMM-BEY, JASON (CSAD)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:
Last Name:HAMM-BEY
Suffix:
Gender:M
Credentials:CSAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2744 ELLICOTT DRIVEWAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-4335
Mailing Address - Country:US
Mailing Address - Phone:443-355-5975
Mailing Address - Fax:
Practice Address - Street 1:2744 ELLICOTT DRIVEWAY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-4335
Practice Address - Country:US
Practice Address - Phone:443-355-5975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-21
Last Update Date:2022-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSC2844101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)