Provider Demographics
NPI:1194700591
Name:HAMMOND, MARSHA (PHD)
Entity type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3241
Mailing Address - Country:US
Mailing Address - Phone:404-964-5338
Mailing Address - Fax:828-253-2066
Practice Address - Street 1:1207 EAST ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3438
Practice Address - Country:US
Practice Address - Phone:404-964-5338
Practice Address - Fax:828-253-2066
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2748103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6000320Medicare UPIN