Provider Demographics
NPI:1154563062
Name:HAMER, ERIKA MELISSA
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:MELISSA
Last Name:HAMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 W CATALPA AVE APT 705
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-7086
Mailing Address - Country:US
Mailing Address - Phone:312-622-0151
Mailing Address - Fax:
Practice Address - Street 1:1122 W CATALPA AVE APT 705
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-7086
Practice Address - Country:US
Practice Address - Phone:312-622-0151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst