Provider Demographics
NPI:1659518132
Name:HAMMOND, NEKESHIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NEKESHIA
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:NEKESHIA
Other - Middle Name:ALLEGRA
Other - Last Name:NEGUSSIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:710 OAKFIELD DR STE 153
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4954
Mailing Address - Country:US
Mailing Address - Phone:813-654-0503
Mailing Address - Fax:813-653-3963
Practice Address - Street 1:710 OAKFIELD DR STE 153
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4954
Practice Address - Country:US
Practice Address - Phone:813-654-0503
Practice Address - Fax:813-653-3963
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7859103TC0700X, 103TC2200X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily