Provider Demographics
NPI:1356541353
Name:HAMMOND, ANNA LEE (PSYD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LEE
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 N MILL ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1274
Mailing Address - Country:US
Mailing Address - Phone:630-717-5911
Mailing Address - Fax:
Practice Address - Street 1:1801 N MILL ST
Practice Address - Street 2:SUITE C
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1274
Practice Address - Country:US
Practice Address - Phone:630-717-5911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007569103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent