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Individual

CHRISTOPHER T HUMMEL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
3300 ACADEMY AVE, ACADEMY CROSSING MEDICAL PLAZA, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Mailing address
3300 ACADEMY AVE, ACADEMY CROSSING MEDICAL PLAZA, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003312
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
089084M
SENTARA
VA
01
103747
ANTHEM
VA
Enumeration date
08/31/2005
Last updated
07/08/2007
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