Individual
DEREK ALAN HAMMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1717 SWEDE RD STE 102, BLUE BELL, PA 19422-3372
(484) 370-3906
Mailing address
1717 SWEDE RD STE 102, BLUE BELL, PA 19422-3372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
009188
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14356896
CAQH
PA
Enumeration date
10/24/2018
Last updated
10/24/2018
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