Basic Information
| Provider Information | |||||||||
| NPI: | 1275927907 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HEMMING | ||||||||
| FirstName: | EVELYN | ||||||||
| MiddleName: | MAUREEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 465 NW FAIRWOOD WAY | ||||||||
| Address2: | |||||||||
| City: | BREMERTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983119146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606337674 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3500 BUCKLIN HILL ROAD NW | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | SILVERDALE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983838360 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603372222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2015 | ||||||||
| LastUpdateDate: | 03/19/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | CG60548245 | WA | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.