Provider Demographics
NPI:1639739444
Name:HAMMOND, PAULA DORIS (ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:DORIS
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 SW 70TH TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-3138
Mailing Address - Country:US
Mailing Address - Phone:772-538-2978
Mailing Address - Fax:
Practice Address - Street 1:18425 NW 2ND AVE STE 404B
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4525
Practice Address - Country:US
Practice Address - Phone:305-549-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health