Provider Demographics
NPI:1407251804
Name:HAMMERLING, CHRISTA HEDWIG (PHD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:HEDWIG
Last Name:HAMMERLING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CHRISTA
Other - Middle Name:HEDWIG
Other - Last Name:BALZERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:103 EAST 75 STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-535-6203
Mailing Address - Fax:212-535-6203
Practice Address - Street 1:103 EAST 75 STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-535-6203
Practice Address - Fax:212-535-6203
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004920103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis