Individual
ELIZABETH SARAH HAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6735 DECANTURE ST, SAN DIEGO, CA 92120
(619) 255-8954
(619) 255-8954
Mailing address
5173 WARING ROAD, SUITE A, #5, SAN DIEGO, CA 92120
(619) 306-5727
(619) 528-4625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY24827
CA
390200000X
Student in an Organized Health Care Education/Training Program
PSB33458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W416
MEDICARE PTAN
CA
Enumeration date
12/19/2008
Last updated
03/24/2021
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