1386839785 NPI number — DR. LYNN ALEXANDRA HAMERLING PH.D.

Table of content: DR. LYNN ALEXANDRA HAMERLING PH.D. (NPI 1386839785)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386839785 NPI number — DR. LYNN ALEXANDRA HAMERLING PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMERLING
Provider First Name:
LYNN
Provider Middle Name:
ALEXANDRA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386839785
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3000 CONNECTICUT AVE NW
Provider Second Line Business Mailing Address:
SUITE 436
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20008-2509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-722-1507
Provider Business Mailing Address Fax Number:
202-237-5159

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3000 CONNECTICUT AVE NW
Provider Second Line Business Practice Location Address:
SUITE 436
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20008-2509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-722-1507
Provider Business Practice Location Address Fax Number:
202-237-5159
Provider Enumeration Date:
09/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PSY1606 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 787870200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com