Provider Demographics
NPI:1578135091
Name:HAMMOND, ALEXANDRIA NICOLE
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRIA
Middle Name:NICOLE
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10337 LINN STATION RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3816
Mailing Address - Country:US
Mailing Address - Phone:502-895-0000
Mailing Address - Fax:
Practice Address - Street 1:10337 LINN STATION RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-3816
Practice Address - Country:US
Practice Address - Phone:502-895-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling