Provider Demographics
NPI:1790239796
Name:HAMMELL, JULIE E (MHP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:E
Last Name:HAMMELL
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-8840
Mailing Address - Country:US
Mailing Address - Phone:309-779-2031
Mailing Address - Fax:563-264-9374
Practice Address - Street 1:2200 3RD AVE
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-8840
Practice Address - Country:US
Practice Address - Phone:309-779-2031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2024-01-03
Deactivation Date:2018-07-26
Deactivation Code:
Reactivation Date:2024-01-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor