Provider Demographics
NPI:1205529419
Name:HAMMANN, SHAVONNE (BCMMHC, CPRSS)
Entity type:Individual
Prefix:
First Name:SHAVONNE
Middle Name:
Last Name:HAMMANN
Suffix:
Gender:F
Credentials:BCMMHC, CPRSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 W BROOKS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-3925
Mailing Address - Country:US
Mailing Address - Phone:702-331-6371
Mailing Address - Fax:702-331-1389
Practice Address - Street 1:235 W BROOKS AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-3925
Practice Address - Country:US
Practice Address - Phone:702-331-6371
Practice Address - Fax:702-331-1389
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist