Provider Demographics
NPI:1447390083
Name:HAMMER, DAVID A (MFT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:HAMMER
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7862 WINDING WAY UNIT 1876
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-8475
Mailing Address - Country:US
Mailing Address - Phone:916-966-7300
Mailing Address - Fax:916-966-6100
Practice Address - Street 1:7862 WINDING WAY UNIT 1876
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-8475
Practice Address - Country:US
Practice Address - Phone:916-966-7300
Practice Address - Fax:916-966-6100
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC22942106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist