Basic Information
Provider Information
NPI: 1215241971
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMMER
FirstName: ERINA
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: PHD, LICSW, MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 546 N JEFFERSON LN STE 302
Address2:  
City: SPOKANE
State: WA
PostalCode: 992017104
CountryCode: US
TelephoneNumber: 5098387400
FaxNumber:  
Practice Location
Address1: 546 N JEFFERSON LN STE 302
Address2:  
City: SPOKANE
State: WA
PostalCode: 992017104
CountryCode: US
TelephoneNumber: 5098387400
FaxNumber: 5098386827
Other Information
ProviderEnumerationDate: 08/04/2010
LastUpdateDate: 06/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XLW60502155WAN Behavioral Health & Social Service ProvidersSocial WorkerClinical
103T00000X  Y Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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