Provider Demographics
NPI:1841875549
Name:HAMMOND, MARY LYNN (MSSA, LSW)
Entity type:Individual
Prefix:MRS
First Name:MARY LYNN
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:MSSA, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1561 HAINE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6622
Mailing Address - Country:US
Mailing Address - Phone:724-496-1147
Mailing Address - Fax:
Practice Address - Street 1:4559 OLD WILLIAM PENN HWY STE 100
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1950
Practice Address - Country:US
Practice Address - Phone:724-496-1147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-14
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW010419L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty