Provider Demographics
NPI:1710296173
Name:HAMMONDS, MICHAEL LEE (PSYD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:LEE
Last Name:HAMMONDS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 MURRAY ST
Mailing Address - Street 2:APT 2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-2250
Mailing Address - Country:US
Mailing Address - Phone:267-438-5509
Mailing Address - Fax:
Practice Address - Street 1:49 MURRAY ST
Practice Address - Street 2:APT 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-2250
Practice Address - Country:US
Practice Address - Phone:267-438-5509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021003103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical