Provider Demographics
NPI:1881649457
Name:HAMMER, HOWARD (PSYD PA)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:HAMMER
Suffix:
Gender:M
Credentials:PSYD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 E CHESTNUT AVE
Mailing Address - Street 2:BLDG 6B
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360
Mailing Address - Country:US
Mailing Address - Phone:856-691-1511
Mailing Address - Fax:856-691-8511
Practice Address - Street 1:1138 E CHESTNUT AVE
Practice Address - Street 2:BLDG 6B
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360
Practice Address - Country:US
Practice Address - Phone:856-691-1511
Practice Address - Fax:856-691-8511
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ1678103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ443153Medicare ID - Type Unspecified