Individual
DUSTIN BRADSHAW HAMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
355 W 16TH ST STE 2500, INDIANAPOLIS, IN 46202-2280
(317) 963-7204
(317) 963-7211
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
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
103G00000X
Clinical Neuropsychologist
—
—
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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