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Individual

DR. JESSICA ELLEN HAMMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
126 PINE ST, WESTON, MA 02493-1161
(781) 899-6481
Mailing address
126 PINE ST, WESTON, MA 02493-1161
(781) 899-6481

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
916 PSY HEALTH SERVI
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051572000
MAGELLAN BEHAVIORAL HEALT
01
411624
TUFTS
MA
01
W01447
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/28/2006
Last updated
08/09/2010
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