Provider Demographics
NPI:1497159081
Name:HAMP, AUNTRE DOJUAN (MED, MPH)
Entity Type:Individual
Prefix:
First Name:AUNTRE
Middle Name:DOJUAN
Last Name:HAMP
Suffix:
Gender:M
Credentials:MED, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 P ST NW APT 824
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-2881
Mailing Address - Country:US
Mailing Address - Phone:202-487-3013
Mailing Address - Fax:
Practice Address - Street 1:770 P ST NW APT 824
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-2881
Practice Address - Country:US
Practice Address - Phone:202-487-3013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC14466101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional