Provider Demographics
NPI:1568142594
Name:HAMMER, JOANNA (MA, PPS, LEP)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:HAMMER
Suffix:
Gender:F
Credentials:MA, PPS, LEP
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, PPS, LEP
Mailing Address - Street 1:105 FIR ST
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-2310
Mailing Address - Country:US
Mailing Address - Phone:661-204-7176
Mailing Address - Fax:
Practice Address - Street 1:105 FIR ST
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-2310
Practice Address - Country:US
Practice Address - Phone:661-204-7176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4227103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool