Provider Demographics
NPI:1427385715
Name:HAMMOND, MYESHIA (LMFT)
Entity Type:Individual
Prefix:
First Name:MYESHIA
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 ORANGETHORPE AVE APT 701
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1205
Mailing Address - Country:US
Mailing Address - Phone:714-404-1200
Mailing Address - Fax:
Practice Address - Street 1:5600 ORANGETHORPE AVE APT 701
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1205
Practice Address - Country:US
Practice Address - Phone:714-404-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52236106H00000X
CAIMF50478106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist