Provider Demographics
NPI:1568833101
Name:HAMMOND, GREGG ALAN (MS,LPC,,CCBT)
Entity Type:Individual
Prefix:MR
First Name:GREGG
Middle Name:ALAN
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:MS,LPC,,CCBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 BLOSSOM HILL DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3209
Mailing Address - Country:US
Mailing Address - Phone:717-371-3836
Mailing Address - Fax:
Practice Address - Street 1:1525 OREGON PIKE STE 602
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-371-3836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008412101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional