Provider Demographics
NPI:1831258755
Name:HAMMERSCHLAY, BONNIE DAVIDSON (LCPC)
Entity type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:DAVIDSON
Last Name:HAMMERSCHLAY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 HILLMEAD ROAD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-469-0007
Mailing Address - Fax:301-654-9160
Practice Address - Street 1:50 W MONTGOMERY AVE SUITE 110
Practice Address - Street 2:AFFILIATED COMMUNITY COUNSELORS INC
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-251-8965
Practice Address - Fax:301-251-0136
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0441101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC77260046OtherBLUE C S
MD64288401OtherBLUE C S