Provider Demographics
NPI:1609254432
Name:HAMNING, RICHARD (PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:HAMNING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3791 STATE ROUTE 63
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-9371
Mailing Address - Country:US
Mailing Address - Phone:513-438-4313
Mailing Address - Fax:
Practice Address - Street 1:3791 STATE ROUTE 63
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9371
Practice Address - Country:US
Practice Address - Phone:513-483-4313
Practice Address - Fax:513-932-3388
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3449103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist