Provider Demographics
NPI:1275369340
Name:HAMMOCK, CHLOE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:HAMMOCK
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 1:322 W WILLIAM CANNON DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5691
Mailing Address - Country:US
Mailing Address - Phone:512-894-2219
Mailing Address - Fax:
Practice Address - Street 1:151 E MERCER ST STE A
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4037
Practice Address - Country:US
Practice Address - Phone:512-894-2219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician