Provider Demographics
NPI:1609304328
Name:HAMMETT, BRENDA (MASTER OF EDUCATION)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:
Last Name:HAMMETT
Suffix:
Gender:F
Credentials:MASTER OF EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 HERBERT ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-2302
Mailing Address - Country:US
Mailing Address - Phone:757-729-2411
Mailing Address - Fax:
Practice Address - Street 1:3150 HERBERT ST BLDG 2
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2302
Practice Address - Country:US
Practice Address - Phone:757-729-3438
Practice Address - Fax:757-729-3438
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
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