Provider Demographics
NPI:1548691439
Name:HAMMACK, GARAH MARIA (LAMFT)
Entity type:Individual
Prefix:
First Name:GARAH
Middle Name:MARIA
Last Name:HAMMACK
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 SUMMIT BRIDGE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-4802
Mailing Address - Country:US
Mailing Address - Phone:302-605-0577
Mailing Address - Fax:707-425-9880
Practice Address - Street 1:1058 S GOVERNORS AVE STE 102
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6920
Practice Address - Country:US
Practice Address - Phone:302-382-8698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEFA-0000016106H00000X
ND2016-032A106H00000X
DEFT-0000053106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist