Individual
DUSTIN BRADSHAW HAMMERS
Active
Individual
DUSTIN BRADSHAW HAMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20043478A
IN
103G00000X
Clinical Neuropsychologist
502
WY
103G00000X
Clinical Neuropsychologist
6301014253
MI
103G00000X
Clinical Neuropsychologist
799688-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001540973
ANTHEM PTAN
IN
05
—
300050189
—
IN
Enumeration date
10/22/2008
Last updated
03/08/2025
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