Provider Demographics
NPI:1013085398
Name:HAMMEL, PHILIP C (PSYD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:C
Last Name:HAMMEL
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 1:200 E WASHINGTON AVE
Mailing Address - Street 2:#100
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-1806
Mailing Address - Country:US
Mailing Address - Phone:760-737-8642
Mailing Address - Fax:760-737-8918
Practice Address - Street 1:200 E WASHINGTON AVE
Practice Address - Street 2:#100
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-1806
Practice Address - Country:US
Practice Address - Phone:760-737-8642
Practice Address - Fax:760-737-8918
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health