Provider Demographics
NPI:1245504885
Name:HAMMER, TINA MARIE (MA)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:MARIE
Last Name:HAMMER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:MARIE
Other - Last Name:AKUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:2201 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-2727
Mailing Address - Country:US
Mailing Address - Phone:724-342-3323
Mailing Address - Fax:724-981-6198
Practice Address - Street 1:2201 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2727
Practice Address - Country:US
Practice Address - Phone:724-342-3323
Practice Address - Fax:724-981-6198
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health