Provider Demographics
NPI:1336230697
Name:HAMMERLUN, WENDY E (LIMHP)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:E
Last Name:HAMMERLUN
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 341
Mailing Address - Street 2:
Mailing Address - City:COZAD
Mailing Address - State:NE
Mailing Address - Zip Code:69130-0341
Mailing Address - Country:US
Mailing Address - Phone:308-325-0377
Mailing Address - Fax:
Practice Address - Street 1:121 W 9TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:COZAD
Practice Address - State:NE
Practice Address - Zip Code:69130-1739
Practice Address - Country:US
Practice Address - Phone:308-325-0377
Practice Address - Fax:308-784-3351
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2697101YM0800X
NE1131101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health