Provider Demographics
NPI:1407545668
Name:HAMAMEH, DELLA
Entity Type:Individual
Prefix:
First Name:DELLA
Middle Name:
Last Name:HAMAMEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1356 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-2077
Mailing Address - Country:US
Mailing Address - Phone:248-282-4937
Mailing Address - Fax:
Practice Address - Street 1:1356 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-2077
Practice Address - Country:US
Practice Address - Phone:248-282-4937
Practice Address - Fax:248-282-0727
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health