Provider Demographics
NPI:1427367572
Name:HAMMON, ANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:HAMMON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:HAMMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:9700 PARK PLAZA AVE UNIT 105
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2286
Mailing Address - Country:US
Mailing Address - Phone:502-645-0123
Mailing Address - Fax:
Practice Address - Street 1:9700 PARK PLAZA AVE UNIT 105
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2286
Practice Address - Country:US
Practice Address - Phone:502-645-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1708103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical