Provider Demographics
NPI:1871729392
Name:HAMMER, LEAHA M
Entity type:Individual
Prefix:
First Name:LEAHA
Middle Name:M
Last Name:HAMMER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3692 BROWNING DR
Mailing Address - Street 2:
Mailing Address - City:WAHOO
Mailing Address - State:NE
Mailing Address - Zip Code:68066-1367
Mailing Address - Country:US
Mailing Address - Phone:402-719-9162
Mailing Address - Fax:
Practice Address - Street 1:3692 BROWNING DR
Practice Address - Street 2:
Practice Address - City:WAHOO
Practice Address - State:NE
Practice Address - Zip Code:68066-1367
Practice Address - Country:US
Practice Address - Phone:402-719-9162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60059068101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health