Provider Demographics
NPI:1932532439
Name:HEMMERICH, ANTOINETTE S (LPCMH, NCC)
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:S
Last Name:HEMMERICH
Suffix:
Gender:F
Credentials:LPCMH, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 PHILADELPHIA PIKE
Mailing Address - Street 2:SUITE C
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-2280
Mailing Address - Country:US
Mailing Address - Phone:302-260-0605
Mailing Address - Fax:
Practice Address - Street 1:900 PHILADELPHIA PIKE
Practice Address - Street 2:SUITE C
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-2280
Practice Address - Country:US
Practice Address - Phone:302-260-0605
Practice Address - Fax:302-397-2880
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000672101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health