Organization
JUDITH ROES HAMMERLE, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH ROES HAMMERLE PH.D. (PSYCHOLOGIST)
(517) 260-1762
Entity
Organization
Contact information
Practice address
1183 GLENDALE AVE, ADRIAN, MI 49221-1306
(517) 260-1762
(517) 265-2853
Mailing address
1183 GLENDALE AVE, ADRIAN, MI 49221-1306
(517) 260-1762
(517) 265-2853
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03951
PARAMOUNT HEALTH CARE
MI
01
—
D64517
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/06/2009
Last updated
04/21/2014
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