Basic Information
Provider Information
NPI: 1104954163
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMMOND
FirstName: MEREDITH
MiddleName: PAIGE
NamePrefix: MRS.
NameSuffix:  
Credential: L.M.H.C.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 ESSEX ST
Address2:  
City: AMESBURY
State: MA
PostalCode: 019131503
CountryCode: US
TelephoneNumber: 9788340722
FaxNumber:  
Practice Location
Address1: 65 NEWBURY ST
Address2:  
City: DANVERS
State: MA
PostalCode: 019231040
CountryCode: US
TelephoneNumber: 9787506828
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/01/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X5396MAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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