Provider Demographics
NPI:1437766474
Name:HAMM, CLINTON TIMOTHY (LMFT)
Entity Type:Individual
Prefix:MR
First Name:CLINTON
Middle Name:TIMOTHY
Last Name:HAMM
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 PARSONS RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANA
Mailing Address - State:TN
Mailing Address - Zip Code:37037-6131
Mailing Address - Country:US
Mailing Address - Phone:615-708-3051
Mailing Address - Fax:
Practice Address - Street 1:105 N MAPLE ST STE 7
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-3524
Practice Address - Country:US
Practice Address - Phone:615-708-3051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1447106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist