Provider Demographics
NPI:1386953438
Name:HAMMEL, CRISTIN ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:CRISTIN
Middle Name:ANN
Last Name:HAMMEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MONTAUK HWY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-4429
Mailing Address - Country:US
Mailing Address - Phone:631-321-7107
Mailing Address - Fax:631-321-7108
Practice Address - Street 1:400 MONTAUK HWY
Practice Address - Street 2:SUITE 112
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4429
Practice Address - Country:US
Practice Address - Phone:631-321-7107
Practice Address - Fax:631-321-7108
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018809103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist